Organization
AZAR FOOT & ANKLE SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD SHIBLI AZAR DPM (CEO)
(213) 537-2927
Entity
Organization
Contact information
Practice address
7111 INDIANA AVE FL 2, RIVERSIDE, CA 92504-4556
(213) 537-2927
Mailing address
9675 MONTE VISTA AVE STE D, MONTCLAIR, CA 91763-2213
(213) 537-2927
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
05/25/2025
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