| Azar Beauty Med Spa | |
|
1000 Newbury Rd Ste 265 Thousand Oaks CA 91320-6444 | |
| (818) 667-7473 | |
| (818) 914-4230 |
| Full Name | Azar Beauty Med Spa |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 Newbury Rd Ste 265, Thousand Oaks, California |
| Authorized Official Name and Position | Nicola Azar (PRESIDENT) |
| Authorized Official Contact | 8054801400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azar Beauty Med Spa 1000 Newbury Rd Ste 265 Thousand Oaks CA 91320-6444 Ph: (805) 480-1400 | Azar Beauty Med Spa 1000 Newbury Rd Ste 265 Thousand Oaks CA 91320-6444 Ph: (818) 667-7473 |
| NPI Number | 1871248401 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 08/10/2026 |
| Certification Date | 08/10/2026 |
| Medicare PECOS PAC ID | 8729475173 |
|---|---|
| Medicare Enrollment ID | O20220503002454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871248401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Nicola Azar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922259787 PECOS PAC ID: 5799836557 Enrollment ID: I20141124000665 |
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