| Narciso M Azurin Md Inc | |
|
4075 Tweedy Blvd South Gate CA 90280-6146 | |
| (323) 566-4111 | |
| (323) 563-0439 |
| Full Name | Narciso M Azurin Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4075 Tweedy Blvd, South Gate, California |
| Authorized Official Name and Position | Narciso M Azurin (PRESIDENT PHYSICIAN) |
| Authorized Official Contact | 3235664111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Narciso M Azurin Md Inc 4075 Tweedy Blvd South Gate CA 90280-6146 Ph: (323) 566-4111 | Narciso M Azurin Md Inc 4075 Tweedy Blvd South Gate CA 90280-6146 Ph: (323) 566-4111 |
| NPI Number | 1659479269 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 03/15/2010 |
| Medicare PECOS PAC ID | 1951345370 |
|---|---|
| Medicare Enrollment ID | O20050616000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659479269 | NPI | - | NPPES |
| GR0016090 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A36302 (California) | Primary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| Provider Name | Narciso M Azurin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326132945 PECOS PAC ID: 9234207200 Enrollment ID: I20120221000245 |
| Provider Name | Robert A Azurin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700149663 PECOS PAC ID: 3577871862 Enrollment ID: I20151007000075 |
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