Individual
AVA AZIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11500 BROOKSHIRE AVE, DOWNEY, CA 90241-4917
(562) 904-5000
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101252660
VA
207R00000X
Internal Medicine Physician
Primary
A138485
CA
207R00000X
Internal Medicine Physician
DR.0064867
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44221
MEDICAL LICENSE
KY
Enumeration date
04/28/2009
Last updated
04/03/2023
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