Organization
KENT H AZAREN MD INC
Active
Other names
Associates in General Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA DELL ROBINSON (ADMINISTRATOR/CFO)
(562) 424-0421
Entity
Organization
Contact information
Practice address
701 EAST 28TH STREET, #201, LONG BEACH, CA 90806
(562) 424-0421
(562) 427-8005
Mailing address
701 EAST 28TH STREET #201, LONG BEACH, CA 90806
(562) 424-0421
(562) 427-8005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
CA
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0079620
—
CA
Enumeration date
04/24/2007
Last updated
07/21/2022
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