Organization
AZIZEH ASGARI, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZIZEH ASGARIPOUR MD (PRESIDENT)
(818) 995-6046
Entity
Organization
Contact information
Practice address
1030 S GLENDALE AVE, SUITE 406, GLENDALE, CA 91205-5612
(818) 241-0016
(818) 241-0407
Mailing address
16661 VENTURA BLVD, SUITE 309, ENCINO, CA 91436-1914
(818) 995-6046
(818) 995-5726
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A48989
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A489891
—
CA
Enumeration date
04/27/2007
Last updated
08/22/2020
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