Doctor Name: | MR. HESSAM AAZAMI |
NPI Number: | 1144299173 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A85704 |
Business Practice Address: | 22030 Sherman Way Suite #101 Canoga Park, CA - 913031844 |
Business Phone Number: | 8183129101 |
Business Fax Number: | 8183129100 |
Mailing Address: | 22030 Sherman Way, Suite #101 CANOGA PARK |
State: | CA |
Postal Code: | 913031844 |
Phone Number: | 8183129101 |
Fax Number: | 8183129100 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 05/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A85704 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |