| Eleanor V Azurin Md Inc | |
|
7700 Pacific Blvd Walnut Park CA 90255-6302 | |
| (323) 585-7320 | |
| (323) 585-7199 |
| Full Name | Eleanor V Azurin Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7700 Pacific Blvd, Walnut Park, California |
| Authorized Official Name and Position | Eleanor V Azurin (PRESIDENT PHYSICIAN) |
| Authorized Official Contact | 3235857320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor V Azurin Md Inc 7700 Pacific Blvd Walnut Park CA 90255-6302 Ph: (323) 585-7320 | Eleanor V Azurin Md Inc 7700 Pacific Blvd Walnut Park CA 90255-6302 Ph: (323) 585-7320 |
| NPI Number | 1538278270 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3971672965 |
|---|---|
| Medicare Enrollment ID | O20080516000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538278270 | NPI | - | NPPES |
| 00A667420 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A66742 (California) | Primary |
| Provider Name | Eleanor V Azurin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053582171 PECOS PAC ID: 4981773975 Enrollment ID: I20080516000241 |
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