Organization
AZADEH SHIRAZI MD INC
Active
Organization
AZADEH SHIRAZI MD INC
Active
Other names
La Jolla Dermatology & Laser Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
AZADEH SHIRAZI MD (PHYSICIAN/PRESIDENT)
(619) 309-9831
Entity
Organization
Contact information
Practice address
7301 GIRARD AVE STE 202, LA JOLLA, CA 92037-5151
(858) 456-3992
(858) 456-4010
Mailing address
7301 GIRARD AVE STE 202, LA JOLLA, CA 92037-5151
(858) 456-3992
(858) 456-4010
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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