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Individual

DR. MORTEZA AZIMIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3565 DEL AMO BLVD, TORRANCE, CA 90503-1637
(310) 214-0811
(310) 214-8340
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036122207
IL
207RR0500X
Rheumatology Physician
Primary
12201
ND
390200000X
Student in an Organized Health Care Education/Training Program
036122207
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17133
ND
Enumeration date
05/12/2007
Last updated
12/04/2025
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