Organization
AZHAR MUTTALIB MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZHAR MUTTALIB MD (DOCTOR)
(310) 373-9980
Entity
Organization
Contact information
Practice address
23639 HAWTHORNE BLVD, SUITE 102, TORRANCE, CA 90505-5930
(310) 373-9980
(310) 373-5556
Mailing address
23639 HAWTHORNE BLVD, SUITE 102, TORRANCE, CA 90505-5930
(310) 373-9980
(310) 373-5556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2591934
—
CA
Enumeration date
02/16/2007
Last updated
09/04/2015
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