Daneshbod, Azar
Daneshbod, Azar is an individual health care provider with primary practice located at 3751 Katella Ave , Los Alamitos CA 90720-3113. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Daneshbod, Azar can be contacted via phone (562) 799-3132.Contact Information
Primary practice address
3751 Katella Ave
Los Alamitos CA 90720-3113
Phone: (562) 799-3132
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | C41330 | California |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | C41330 | California |
Profile Details
NPI number | 1386605673 |
---|---|
LBN Legal business name | Daneshbod, Azar |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2006 |
Last updated | Jan 28th, 2014 - about 10 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 | 1386605673 | NPPES |
California | MEDICAID | 00C143300 |
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