Individual
BASSAM AZIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1350 W COVINA BLVD, SAN DIMAS, CA 91773-3245
(310) 592-7149
Mailing address
5442 BANKTON DR, HUNTINGTON BEACH, CA 92649-4711
(323) 405-4102
(929) 480-9701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95023263
CA
Other
Enumeration date
02/07/2023
Last updated
07/31/2026
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