Individual
DR. BERNARD M. AZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3810 KATELLA AVE, LOS ALAMITOS, CA 90720-3302
(562) 426-8881
(562) 594-8085
Mailing address
3810 KATELLA AVE, LOS ALAMITOS, CA 90720-3302
(562) 426-8881
(562) 594-8085
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20A7817
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00AX78170
NORTHERN MEDICARE/MEDICAL
CA
01
—
GR0092370
MEDICAL GRP #
CA
01
—
W1985
SOUTHERN MEDICARE GRP #
CA
01
—
W20A7817A
SOUTHERN MEDICARE
CA
01
—
ZZZ22408Z
NORTHERN MEDICARE GRP #
CA
Enumeration date
05/17/2006
Last updated
03/31/2008
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