Individual
MRS. AZAM JAZAYERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3831 HUGHES AVE, STE 502, CULVER CITY, CA 90232
(310) 558-8895
(310) 204-7033
Mailing address
3831 HUGHES AVE, STE 502, CULVER CITY, CA 90232
(310) 558-8895
(310) 204-7033
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A048488
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A484881
—
CA
Enumeration date
07/21/2006
Last updated
07/09/2007
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