Individual
JONATHAN AZIZZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 N VERMONT AVE, LOS ANGELES, CA 90027-6005
(323) 906-0000
(323) 953-6300
Mailing address
339 N OAKHURST DR, SUITE 101, BEVERLY HILLS, CA 90210-4183
(323) 906-0000
(323) 953-6300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A52711
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A527110
—
CA
Enumeration date
08/13/2006
Last updated
07/08/2007
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