Azen, Stanley Alan
Azen, Stanley Alan is an sole proprietor health care provider with primary practice located at 15107 Vanowen St , Van Nuys CA 91405-4542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Azen, Stanley Alan can be contacted via phone (818) 902-2990.Contact Information
Primary practice address
15107 Vanowen St
Van Nuys CA 91405-4542
Phone: (818) 902-2990
Fax: (818) 904-3793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G39558 | California |
Profile Details
| NPI number | 1457392847 |
|---|---|
| LBN Legal business name | Azen, Stanley Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jun 13th, 2008 - about 16 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 | 1457392847 | NPPES |
| California | MEDICAID | 00G395580 |
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