| Doctor Name: | MINOO AZADEH |
| NPI Number: | 1548372824 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | A38738 |
| Business Practice Address: | 11254 Gothic Ave Granada Hills, CA - 913443709 |
| Business Phone Number: | 8183684442 |
| Business Fax Number: | 8183685053 |
| Mailing Address: | 8902 Woodman Ave, ARLETA |
| State: | CA |
| Postal Code: | 913316401 |
| Phone Number: | 8188307033 |
| Fax Number: | 8188910953 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A38738 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |