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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215934468 | NPPES |
| California | Other | 0497240 | MEDI CAL |
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