Jack Azad,M.D.,Inc. in Los Angeles - General Practice
Jack Azad,M.D.,Inc. - NPI 1891795613
Jack Azad,M.D.,Inc. is a General Practice in Los Angeles, California. Jack Azad,M.D.,Inc. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack Azad,M.D.,Inc. is 1891795613. The last update date is 2021-06-15.
Jack Azad,M.D.,Inc.'s current location address is 11900 Avalon Blvd, Los Angeles, California. You can contact this provider via phone number 3237561317 and fax number 3237564015. The mailing address for Jack Azad,M.D.,Inc. is 11900 Avalon Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jack Azad,M.D.,Inc. |
|---|---|
| Address | 11900 Avalon Blvd, Los Angeles, California |
| Phone Number | 3237561317 |
| Fax Number | 3237564015 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Azad Jack |
| Credentials | M.D. |
| Telephone Number | 3237561317 |
NPI Number Detail
| NPI Number | 1891795613 |
|---|---|
| Provider Enumeration Date | 2005-07-22 |
| Last Updated Date | 2021-06-15 |
Provider Mailing Address Detail
| Address | 11900 Avalon Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900612867 |
| Phone Number | 3237561317 |
| Fax Number | 3237564015 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0A544334 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jack Azad,M.D.,Inc. by the Centers for Medicare & Medicaid Services?
The Jack Azad,M.D.,Inc. has been assigned the NPI (National Provider Identifier) 1891795613 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jack Azad,M.D.,Inc.?
The Jack Azad,M.D.,Inc. is physically situated at 11900 Avalon Blvd, in the city of Los Angeles, state of CA, with the postal code 900612867.
What is Jack Azad,M.D.,Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jack Azad,M.D.,Inc. is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.
On what date did Jack Azad,M.D.,Inc. receive its 1891795613 assignment from the Centers for Medicare & Medicaid Services?
The Jack Azad,M.D.,Inc. was assigned its 1891795613 on 2005-07-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jack Azad,M.D.,Inc. most recently updated or revised?
The information pertaining to Jack Azad,M.D.,Inc., including its address, specialty, and other relevant details, was last updated or revised on 2021-06-15.