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Individual

RAYMOND ADLY AZAB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
18436 ROSCOE BLVD, NORTHRIDGE, CA 91325-4107
(818) 435-1400
Mailing address
18436 ROSCOE BLVD, NORTHRIDGE, CA 91325-4107

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
A124719
CA
2085R0202X
Diagnostic Radiology Physician
ME154637
FL

Other

Enumeration date
07/07/2008
Last updated
10/07/2025
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