Individual
MAHNAZ AZIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4145 CLARES ST, CAPITOLA, CA 95010-2053
(831) 438-2750
Mailing address
660 TABOR WAY, SCOTTS VALLEY, CA 95066-2838
(408) 206-9432
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
—
—
2278E1000X
Educational Certified Respiratory Therapist
—
—
2278H0200X
Home Health Certified Respiratory Therapist
—
—
2278P1004X
Pulmonary Diagnostics Certified Respiratory Therapist
—
—
227900000X
Registered Respiratory Therapist
Primary
—
—
2279E1000X
Educational Registered Respiratory Therapist
—
—
2279H0200X
Home Health Registered Respiratory Therapist
—
—
2279P1004X
Pulmonary Diagnostics Registered Respiratory Therapist
—
—
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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