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DR. NICOLA FARIS AZAR M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1922259787

Individual Registrant:
DR. NICOLA FARIS AZAR M.D.
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

Contact information for business:
7251 TOPANGA CANYON BLVD # E1  CANOGA PARK, CA 91303-1269 US
Tel: 818-914-4430  Fax: 818-914-4230

Registration Information:
NPI: 1922259787
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
IL036121756
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAA121880

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE212506IL01




HEALTH CARE JOBS CA - Page 1



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