Organization
PRENATAL CLINIC JONATHAN AZIZZADEH, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN AZIZZADEH MD (OWNER)
(323) 906-0000
Entity
Organization
Contact information
Practice address
1300 N VERMONT AVE, 1ST FLOOR, LOS ANGELES, CA 90027-6005
(323) 906-0000
(323) 953-6300
Mailing address
1300 N VERMONT AVE, 1ST FLOOR, LOS ANGELES, CA 90027-6005
(323) 906-0000
(323) 953-6300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A52711
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942534839
—
CA
Enumeration date
12/28/2010
Last updated
12/28/2010
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