Mavandadi, Azita

Mavandadi, Azita is an individual health care provider with primary practice located at 19066 Magnolia St , Huntington Beach CA 92646-2232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pharmacology, which is considered as her primary health care specialty. Mavandadi, Azita can be contacted via phone (714) 968-0068.

Contact Information

Primary practice address
19066 Magnolia St Huntington Beach CA 92646-2232
Phone: (714) 968-0068
Fax: (714) 378-2188
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pharmacology 208U00000X 49724 California

Profile Details

NPI number 1215934468
LBN Legal business name Mavandadi, Azita
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215934468 NPPES
California Other 0497240 MEDI CAL

Popular Providers