institution
Azam Md Pc
Multi-Specialty Clinic/Center in San Diego, California
NPI 1437864014

Azam Md Pc is a Multi-Specialty Clinic/Center based in San Diego, CA and is specialized in Multi-Specialty. Azam Md Pc practices in San Diego, CA. The NPI Number for Azam Md Pc is 1437864014 and holds a License No. (California).

The current practice location address for Azam Md Pc is 3455 Ingraham St, San Diego, CA and can be reached out via phone at 619-937-2055.

Location: 3455 Ingraham St, San Diego, CA, 92107-2102
institution
Provider Profile Details
NPI Number
1437864014
Provider Name
Azam Md Pc
Credential
Provider Entity Type
Organization
Address
3455 Ingraham St, San Diego, CA, 92107-2102
Phone Number
619-937-2055
Fax Number
Provider Enumeration Date
01/18/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
161461 01 CA MEDICAL BOARD OF CALIFORNIA
50842 01 CA BOARD OF BEHAVIORAL SCIENCE
institution
Provider Business Practice Location Address Details
Address
3455 Ingraham St
City
State
Zip
92109-6713
Phone Number
619-937-2055
Fax Number
person
Provider Business Mailing Address Details
Address
3455 Ingraham St
City
State
Zip
92109-6713
Phone Number
619-937-2055
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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