Individual
ALI M AZIZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16661 VENTURE BLVD, #708, ENCINO, CA 91436
(818) 501-7474
(818) 501-8410
Mailing address
16661 VENTURE BLVD, #708, ENCINO, CA 91436
(818) 501-7474
(818) 501-8410
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
A045136
CA
2084P0800X
Psychiatry Physician
Primary
A045136
CA
Other
Enumeration date
06/21/2007
Last updated
09/11/2025
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