| Azam Md Pc | |
|
3455 Ingraham St San Diego CA 92109-6713 | |
| (619) 268-1473 | |
| Not Available |
| Full Name | Azam Md Pc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3455 Ingraham St, San Diego, California |
| Authorized Official Name and Position | Lisa Carolyn Mcjunkin (COO) |
| Authorized Official Contact | 6199870158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azam Md Pc 1602 Jose Ln Escondido CA 92026-2051 Ph: (619) 987-0158 | Azam Md Pc 3455 Ingraham St San Diego CA 92109-6713 Ph: (619) 268-1473 |
| NPI Number | 1992584767 |
|---|---|
| Provider Enumeration Date | 09/21/2023 |
| Last Update Date | 09/21/2023 |
| Certification Date | 09/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992584767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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