| Doctor Name: | RAYMOND ADLY AZAB |
| NPI Number: | 1528221983 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | A124719 |
| Business Practice Address: | 723 Palisades Beach Rd Apt 214 Santa Monica, CA - 904022621 |
| Business Phone Number: | 6269229729 |
| Business Fax Number: | |
| Mailing Address: | 723 Palisades Beach Rd, Apt 214 SANTA MONICA |
| State: | CA |
| Postal Code: | 904022621 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/07/2008 |
| NPI Last Update Date: | 01/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | A124719 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |