Individual
DR. AZITA CHEHRESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1220 ROSSMOOR PKWY, WALNUT CREEK, CA 94595-2501
(925) 939-1220
Mailing address
DEPT 34929, P.O. BOX 39000, SAN FRANCISCO, CA 94139-0001
(925) 952-2828
(925) 952-2850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01064679A
IN
207Q00000X
Family Medicine Physician
Primary
C134739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200947090
—
IN
01
—
P01157324
RR MEDICARE PTAN
IN
Enumeration date
07/03/2008
Last updated
02/08/2016
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