| H Azadeh MD | |
|
18251 Roscoe Blvd Ste 203 Northridge CA 91325-4200 | |
| (818) 885-7611 | |
| (818) 885-8236 |
| Full Name | H Azadeh MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 18251 Roscoe Blvd, Northridge, California |
| Authorized Official Name and Position | Hooshang Azadeh (OWNER) |
| Authorized Official Contact | 8188857611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H Azadeh MD 18251 Roscoe Blvd Ste 203 Northridge CA 91325-4200 Ph: (818) 885-7611 | H Azadeh MD 18251 Roscoe Blvd Ste 203 Northridge CA 91325-4200 Ph: (818) 885-7611 |
| NPI Number | 1659675973 |
|---|---|
| Provider Enumeration Date | 12/29/2010 |
| Last Update Date | 12/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659675973 | NPI | - | NPPES |
| 00A246810 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A24681 (California) | Primary |
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