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Organization

AZIM U. AZHAND, M.D. PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AZIM U. AZHAND M.D. (PRESIDENT)
(951) 695-4333
Entity
Organization

Contact information

Practice address
27450 YNEZ RD, SUITE 108, TEMECULA, CA 92591-4671
(951) 695-4333
(951) 695-4828
Mailing address
27450 YNEZ RD, SUITE 108, TEMECULA, CA 92591-4671
(951) 695-4333
(951) 695-4828

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A49621
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A4962100
CA
Enumeration date
11/20/2012
Last updated
11/20/2012
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