Individual
WLED WAZNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1050 LINDEN AVE FL 2, LONG BEACH, CA 90813-3321
(562) 491-9270
(562) 491-7985
Mailing address
478 S OAKLAND AVE UNIT 3, PASADENA, CA 91101-4032
(586) 303-5519
(626) 566-2866
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
60928 - 20
WI
2084V0102X
Vascular Neurology Physician
Primary
A147166
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528297009
—
WI
Enumeration date
07/06/2009
Last updated
02/05/2020
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