Tri-City Medical Group

LBN: Jack Azad,M.D.,Inc.
Tri-City Medical Group is an health care organization with primary practice located at 11900 Avalon Blvd Ste 101 , Los Angeles CA 90061-2867. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Jack Azad,M.D.,Inc. can be contacted via phone (323) 756-1317, or through Azad, Jack via phone (323) 756-1317.

Contact Information

Primary practice address
11900 Avalon Blvd Ste 101 Los Angeles CA 90061-2867
Phone: (323) 756-1317
Fax: (323) 756-4015
Website:
Map and Directions
Authorized official contact:
Name: Azad, Jack Doctor of Medicine (MD)
Phone: (323) 756-1317

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1891795613
LBN Legal business name Jack Azad,M.D.,Inc.
DBA Doing business as Tri-City Medical Group
Authorized official Azad, Jack Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2005
Last updated Jun 15th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891795613 NPPES
California MEDICAID 0A544334

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