Jack Azad,m.d.,inc.
NPI #1891795613 in Los Angeles, California
Provider Information
- NPI Number
- 1891795613
- Entity Type
- Organization
- Organization Name
- Jack Azad,m.d.,inc.
- Primary Specialty
- General Practice
- Enumeration Date
- Jul 22, 2005
- Last Updated
- Jun 15, 2021
Practice Location
- Address
- 11900 AVALON BLVD STE 101
- City
- Los Angeles
- State
- California
- ZIP Code
- 90061-2867
- Phone
- (323) 756-1317
Authorized Official
- Name
- JACK AZAD, M.D.
- Title
- PRESIDENT
- Phone
- (323) 756-1317
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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