Individual
DR. AZMY F GHALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
1700 CESAR CHAVEZ AVE, SENIOR CARE CLINIC, LOS ANGELES, CA 90033-2414
(323) 307-0800
(323) 307-0803
Mailing address
1700 CESAR CHAVEZ AVE, STE 3900, LOS ANGELES, CA 90033-2414
(323) 307-0800
(323) 307-0803
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A51085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089680
—
CA
Enumeration date
11/20/2006
Last updated
07/08/2007
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