Individual
DR. HOSSEIN AZADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 MARCELA DR, WILLITS, CA 95490-5769
(707) 459-6115
(707) 456-9314
Mailing address
3 MARCELA DR, WILLITS, CA 95490-5769
(707) 459-6115
(707) 456-9314
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
A195234
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A195234
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
07/22/2019
Last updated
11/15/2024
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