Azusa Way Family Medical Clinic
NPI #1508055922 in La Puente, California
Provider Information
- NPI Number
- 1508055922
- Entity Type
- Organization
- Organization Name
- Azusa Way Family Medical Clinic
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 22, 2007
- Last Updated
- Oct 22, 2007
Practice Location
- Address
- 561 S AZUSA WAY
- City
- La Puente
- State
- California
- ZIP Code
- 91744-5113
- Phone
- (626) 912-6670
Authorized Official
- Name
- HODA FARID
- Title
- DIRCECTOR
- Phone
- (626) 912-6670
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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