Individual
HAMSA MARIA AZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9985 SIERRA AVE # BLGD4, FONTANA, CA 92335
(415) 716-4195
Mailing address
2295 N LAUREL AVE, UPLAND, CA 91784-1368
(415) 716-4195
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33351TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22236107
—
CA
Enumeration date
11/22/2013
Last updated
12/29/2021
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