Azaren, Kent H
Azaren, Kent H is an individual health care provider with primary practice located at 3610 Long Beach Blvd Suite 101, Long Beach CA 90807-4012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Azaren, Kent H can be contacted via phone (562) 424-0421.Contact Information
Primary practice address
3610 Long Beach Blvd Suite 101
Long Beach CA 90807-4012
Phone: (562) 424-0421
Fax: (562) 427-8005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G40048 | California |
Profile Details
| NPI number | 1750453700 |
|---|---|
| LBN Legal business name | Azaren, Kent H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Mar 12th, 2012 - about 13 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750453700 | NPPES |
| California | MEDICAID | GR0079620 |
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