Individual
HAFIZULLAH AJMAL AZIZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 ETIWANDA AVE, RANCHO CUCAMONGA, CA 91739
(909) 420-5520
Mailing address
12719 GEORGE CT, RANCHO CUCAMONGA, CA 91739-1682
(909) 420-5520
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A139334
CA
Other
Enumeration date
04/15/2012
Last updated
05/14/2018
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