Basic Information
Provider Information
NPI: 1225234529
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AZIZI
FirstName: ALI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 9602
Address2:  
City: MISSION HILLS
State: CA
PostalCode: 913469602
CountryCode: US
TelephoneNumber: 8188375559
FaxNumber: 8187924793
Practice Location
Address1: 15031 RINALDI ST
Address2:  
City: MISSION HILLS
State: CA
PostalCode: 913451207
CountryCode: US
TelephoneNumber: 8186394333
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/23/2007
LastUpdateDate: 12/20/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XA116224CAN Allopathic & Osteopathic PhysiciansFamily Medicine 
208M00000XA116224CAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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