Individual
AZITA JAVDANFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1125 S BEVERLY DR STE 400, LOS ANGELES, CA 90035-1152
(310) 497-1689
Mailing address
451 S ELM DR, BEVERLY HILLS, CA 90212-4507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/03/2009
Last updated
09/09/2011
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