Doctor Name: | ANTOINETTE AZAR |
NPI Number: | 1003946278 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A73736 |
Business Practice Address: | 303 E Vanderbilt Way San Bernardino, CA - 924150026 |
Business Phone Number: | 9093880810 |
Business Fax Number: | |
Mailing Address: | 303 E Vanderbilt Way, SAN BERNARDINO |
State: | CA |
Postal Code: | 924150026 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | A73736 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |