Individual
MINOO AZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11254 GOTHIC AVE, GRANADA HILLS, CA 91344-3709
(818) 368-4442
(818) 368-5053
Mailing address
8902 WOODMAN AVE, ARLETA, CA 91331-6401
(818) 830-7033
(818) 891-0953
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A38738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A38738
LICENSE #
CA
05
—
FHC70468F
—
CA
Enumeration date
08/31/2006
Last updated
07/09/2007
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