Organization
LA COUNTY KING DREW MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBABEH AKHAVAN AZARI (CNM)
(310) 668-4611
Entity
Organization
Contact information
Practice address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(310) 668-4611
Mailing address
10142 BIRCHWOOD DR, HUNTINGTON BEACH, CA 92646-5433
(714) 968-4484
Taxonomy
Speciality
Code
Description
License number
State
282NW0100X
Women's Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03045
ACNM CERTIFICATION NUMBER
CA
01
—
163
NURSE-MIDWIFE
CA
01
—
1723
NURSE PRACTITIONER NUMBER
CA
01
—
273373
REGISTERED NURSE
CA
Enumeration date
02/20/2007
Last updated
03/07/2023
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