Organization
CHILDREN'S INFECTIOUS DISEASE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARVIN H. AZIMI MD (CEO)
(510) 428-3336
Entity
Organization
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3336
Mailing address
295 THE UPLANDS, BERKELEY, CA 94705-2833
(510) 843-9910
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
A24963
CA
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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