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Organization
H AZADEH MD
Active
Organization
H AZADEH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOOSHANG AZADEH MD (OWNER)
(818) 885-7611
Entity
Organization
Contact information
Practice address
18251 ROSCOE BLVD, STE 203, NORTHRIDGE, CA 91325-4200
(818) 885-7611
(818) 885-8236
Mailing address
18251 ROSCOE BLVD, STE 203, NORTHRIDGE, CA 91325-4200
(818) 885-7611
(818) 885-8236
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A24681
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A246810
—
CA
Enumeration date
12/29/2010
Last updated
12/29/2010
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