person
Jack Azad, MD
General Practice Physician in Los Angeles, California
NPI 1841489440

Jack Azad is a General Practice Physician based in Los Angeles, CA. Jack Azad practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Jack Azad is 1841489440 and holds a License No. A54433 (California).

The current practice location address for Jack Azad is 11900 Avalon Blvd, Los Angeles, CA and can be reached out via phone at 323-756-1317 and via fax at 323-756-4015.

Location: 11900 Avalon Blvd, Los Angeles, CA, 90061-2867
person
Provider Profile Details
NPI Number
1841489440
Provider Name
Jack Azad
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11900 Avalon Blvd, Los Angeles, CA, 90061-2867
Phone Number
323-756-1317
Fax Number
323-756-4015
Provider Enumeration Date
10/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1891795613 01 CA GROUP/CORPORATION NPI #
0A544334 05 CA
institution
Provider Business Practice Location Address Details
Address
11900 Avalon Blvd
City
State
Zip
90061-2867
Phone Number
323-756-1317
Fax Number
323-756-4015
person
Provider Business Mailing Address Details
Address
11900 Avalon Blvd
City
State
Zip
90061-2867
Phone Number
323-756-1317
Fax Number
323-756-4015
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A54433 (California)
Definition
Definition to come...
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