Individual
AZITA LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 S SAN VICENTE BLVD, LOS ANGELES, CA 90048-4653
(310) 873-3312
Mailing address
12855 RUNWAY RD APT 1225, PLAYA VISTA, CA 90094-2667
(805) 708-5523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95022389
CA
363LF0000X
Family Nurse Practitioner
95131887
CA
Other
Enumeration date
09/21/2022
Last updated
10/30/2025
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