Organization
DIRECT CARE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK AZAD M.D. (PRESIDENT)
(323) 756-1317
Entity
Organization
Contact information
Practice address
5901 W OLYMPIC BLVD, STE 300, LOS ANGELES, CA 90036-4667
(323) 756-1317
Mailing address
11900 AVALON BLVD, STE 100, LOS ANGELES, CA 90061-2866
(323) 756-1317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A54433
CA
207RG0100X
Gastroenterology Physician
Primary
A54433
CA
Other
Enumeration date
03/02/2016
Last updated
04/25/2016
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