Individual
DR. AZAR DASTGAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
14651 S BASCOM AVE, SUITE #215, LOS GATOS, CA 95032-2014
(408) 358-2250
(408) 358-2258
Mailing address
14651 S BASCOM AVE, SUITE #215, LOS GATOS, CA 95032-2014
(408) 358-2250
(408) 358-2258
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4916
CA
Other
Enumeration date
12/29/2010
Last updated
07/25/2012
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