Abed-Stephen, Azad

Abed-Stephen, Azad is an sole proprietor health care provider with primary practice located at 15305 Rayen St , North Hills CA 91343-5117. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Abed-Stephen, Azad can be contacted via phone (818) 892-3423.

Contact Information

Primary practice address
15305 Rayen St North Hills CA 91343-5117
Phone: (818) 892-3423
Fax: (818) 893-4509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1962242347
LBN Legal business name Abed-Stephen, Azad
Credentials SUDCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2024
Last updated May 31st, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962242347 NPPES
California MEDICAID 95-2633765

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