Jazayeri, Azam
Jazayeri, Azam is an individual health care provider with primary practice located at 3831 Hughes Ave Ste 502, Culver City CA 90232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jazayeri, Azam can be contacted via phone (310) 558-8895.Contact Information
Primary practice address
3831 Hughes Ave Ste 502
Culver City CA 90232
Phone: (310) 558-8895
Fax: (310) 204-7033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A048488 | California |
Profile Details
| NPI number | 1972523728 |
|---|---|
| LBN Legal business name | Jazayeri, Azam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1972523728 | NPPES |
| California | MEDICAID | 00A484881 |
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