Individual
DR. AZHAR MUTTALIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23639 HAWTHORNE BLVD, SUITE 102, TORRANCE, CA 90505-5930
(310) 373-9980
(310) 373-5556
Mailing address
23639 HAWTHORNE BLVD, SUITE 102, TORRANCE, CA 90505-5930
(310) 373-9980
(310) 373-5556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E24196
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2591934
—
CA
Enumeration date
06/24/2006
Last updated
10/13/2010
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