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Organization

AZAM MD PC

Active
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Organization

AZAM MD PC

Active
Other names
Daydream MD
Organization subpart
No

Provider details

NPI number
Authorized official
ARSALAN AZAM MD (CEO/CMO)
(216) 526-2099
Entity
Organization

Contact information

Practice address
3455 INGRAHAM ST, SAN DIEGO, CA 92109-6713
(619) 937-2055
Mailing address
4860 MUIR AVE, SAN DIEGO, CA 92107-2102
(216) 526-2099

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
161461
MEDICAL BOARD OF CALIFORNIA
CA
01
50842
BOARD OF BEHAVIORAL SCIENCE
CA
Enumeration date
01/18/2023
Last updated
11/16/2023
Update your record

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