# PRENATAL CLINIC JONATHN AZIZZADEH, MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942534839
- **Authorized official:** DR. JONATHAN AZIZZADEH MD (MEDICAL DOCTOR)
- **Authorized official phone:** (323) 906-0000

## Contact information

- **Practice address:** 4226 W BEVERLY BLVD, LOS ANGELES, CA 90004
- **Practice address phone:** (213) 384-4444
- **Practice address fax:** (213) 249-9300
- **Mailing address:** 1300 N VERMONT AVE, 1ST FLOOR, LOS ANGELES, CA 90027-6005
- **Mailing address phone:** (323) 906-0000
- **Mailing address fax:** (323) 953-6300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A52711 | CA | Yes |

## Other

- **Enumeration date:** 09/24/2009
- **Last updated:** 09/24/2009