| Masoud M Azizad Md Inc | |
|
18433 Roscoe Blvd #208 Northridge CA 91325-4108 | |
| (818) 341-4401 | |
| (818) 341-4402 |
| Full Name | Masoud M Azizad Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18433 Roscoe Blvd, Northridge, California |
| Authorized Official Name and Position | Masoud M Azizad (CEO) |
| Authorized Official Contact | 8183414401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Masoud M Azizad Md Inc 18433 Roscoe Blvd 208 Northridge CA 91325-4108 Ph: (818) 341-4401 | Masoud M Azizad Md Inc 18433 Roscoe Blvd #208 Northridge CA 91325-4108 Ph: (818) 341-4401 |
| NPI Number | 1376501080 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 03/11/2010 |
| Medicare PECOS PAC ID | 6406863075 |
|---|---|
| Medicare Enrollment ID | O20060307000870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376501080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A74207 (California) | Primary |
| Provider Name | Masoud M Azizad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033174826 PECOS PAC ID: 7315954989 Enrollment ID: I20060308000330 |
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