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DR. NICOLA FARIS AZAR M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1922259787
Individual Registrant:DR. NICOLA FARIS AZAR M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
7251 TOPANGA CANYON BLVD # E1 CANOGA PARK, CA 91303-1269 US
Tel: 818-914-4430 Fax: 818-914-4230
Tel: 818-914-4430 Fax: 818-914-4230
Contact information for business:
7251 TOPANGA CANYON BLVD # E1 CANOGA PARK, CA 91303-1269 US
Tel: 818-914-4430 Fax: 818-914-4230
Tel: 818-914-4430 Fax: 818-914-4230
Registration Information:
NPI: 1922259787
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | IL | 036121756 |
| N | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | A121880 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICARE | 212506 | IL | 01 |
