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Organization

KOUROS AZAR MD A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KOUROS AZAR M.D. (MEDICAL DOCTOR)
(805) 373-7073
Entity
Organization

Contact information

Practice address
2100 LYNN RD STE 100, THOUSAND OAKS, CA 91360-8030
(805) 373-7073
(805) 373-1116
Mailing address
2100 LYNN RD STE 100, THOUSAND OAKS, CA 91360-8030
(805) 373-7073
(805) 373-1116

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
03/13/2007
Last updated
08/22/2020
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