Azzam, Amelia Alejandra

Azzam, Amelia Alejandra is an sole proprietor health care provider with primary practice located at 1801 S Poplar St , Santa Ana CA 92704-4321. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Azzam, Amelia Alejandra can be contacted via phone (714) 433-3481.

Contact Information

Primary practice address
1801 S Poplar St Santa Ana CA 92704-4321
Phone: (714) 433-3481
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 75284 California

Profile Details

NPI number 1982984167
LBN Legal business name Azzam, Amelia Alejandra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2011
Last updated Feb 8th, 2024 - about 10 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 1982984167 NPPES
California Other 95-2633765 MEDI-CAL

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