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Organization
ELEANOR V AZURIN MD INC
Active
Organization
ELEANOR V AZURIN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANOR V AZURIN MD (PRESIDENT PHYSICIAN)
(323) 585-7320
Entity
Organization
Contact information
Practice address
7700 PACIFIC BLVD, WALNUT PARK, CA 90255-6302
(323) 585-7320
(323) 585-7199
Mailing address
7700 PACIFIC BLVD, WALNUT PARK, CA 90255-6302
(323) 585-7320
(323) 585-7199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A66742
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A667420
—
CA
Enumeration date
08/29/2006
Last updated
08/22/2020
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