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Licensing details for: A 191580

Name: Fozouni, Laila

License Type: Physician and Surgeon A

Primary Status: Delinquent - License renewal fee has not been paid. No practice is permitted.

School Name: University of California San Francisco School of Medicine

Graduation Year: 2021

Address of Record

505 Parnassus Ave # M1480
SAN FRANCISCO CA 94143-2204
SAN FRANCISCO county
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Issuance Date

October 16, 2023

Expiration Date

October 31, 2025

Current Date / Time

April 3, 2026
3:40:30 AM

Public Record Actions

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License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Physician & Surgeon

Related Party Role: Postgraduate Training License

Name: Fozouni, Laila

License/Registration Type: Postgraduate Training License

License Number: 8092 Primary Status: License Canceled

Address :
505 Parnassus Ave
SAN FRANCISCO CA 94143-2204
SAN FRANCISCO COUNTY

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Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status
Fellow
Postgraduate Training Years
4
Primary Area of Practice
Gastroenterology
Secondary Area of Practice
Internal Medicine
ABMS Certifications
American Board of Internal Medicine - Internal Medicine
Are you retired?
Decline to state
Practice Activities
Direct Patient Care (including telehealth) - 40+ Hours
Percentage (%) of patient care hours spent on telehealth - 0
Training - 40+ Hours
Research - 1-9 Hours
Administration - 1-9 Hours
Other - None
Primary Practice Location
Decline to State
Secondary Practice Location
Not Applicable
Are you Hispanic, Latino/a, or of Spanish origin?
Decline to State
Race
Decline to State
Language Fluency
Decline to State
Gender Identity
Decline to State

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