Individual
MR. MANSOOR AZIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3770 KEYSTONE AVE APT 107, LOS ANGELES, CA 90034-6340
(951) 961-8639
Mailing address
3770 KEYSTONE AVE APT 107, LOS ANGELES, CA 90034-6340
(951) 961-8639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A128143
CA
207RN0300X
Nephrology Physician
Primary
A128143
CA
Other
Enumeration date
04/19/2012
Last updated
02/07/2018
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