Organization
FAROOQUE AND ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAROOQUE AZAM NURSE PRACTITIONER (OWNER)
(310) 985-1828
Entity
Organization
Contact information
Practice address
1654 MIDDLETON PL, LOS ANGELES, CA 90062-1033
(310) 985-1828
Mailing address
1654 MIDDLETON PL, LOS ANGELES, CA 90062-1033
(310) 985-1828
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
04/02/2025
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