Organization
VIVO MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD AZAR MD (CEO/MEDICAL DIRECTOR)
(415) 516-4969
Entity
Organization
Contact information
Practice address
1030 S GLENDALE AVE STE 502, GLENDALE, CA 91205-2820
(747) 228-6861
Mailing address
1030 S GLENDALE AVE STE 502, GLENDALE, CA 91205-2820
(747) 228-6861
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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