Individual
DR. AZADEH LISA MAJLESSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19582 BEACH BLVD, # 302, HUNTINGTON BEACH, CA 92648-2996
(714) 378-2440
(714) 378-2451
Mailing address
19582 BEACH BLVD, # 302, HUNTINGTON BEACH, CA 92648
(714) 378-2440
(714) 378-2451
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G75282
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G752820
—
CA
Enumeration date
06/08/2006
Last updated
06/20/2011
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