Graduated: 1978
Offers telehealth
NPI: 1043394505
Practice Locations (2)
17075 DEVONSHIRE ST
NORTHRIDGE, CA 913251600
FAWZY BASTA M D A PROFESSIONAL CORPORATION
17075 DEVONSHIRE ST, SUITE 204
NORTHRIDGE, CA 913255408
8183688929
Source: CMS National Downloadable File, September 2026.