Kouros Azar, MD a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A79029 Issued in CA

Legal business name

KOUROS AZAR, MD A PROFESSIONAL CORPORATION

Practice address

425 Haaland Dr
Suite 200
Thousand Oaks, CA 91361-5229

Phone

(805) 373-7073

Fax

(805) 373-1116

NPI assigned

May 17, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kouros Azar, MDNPI 1508935040

Title

Owner

Phone

(805) 373-7073

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kouros Azar, M.D.

  • Plastic Surgery Physician
  • Thousand Oaks, CA
  • NPI 1508935040
  NPD Authorized official
• Mandana Azar, M.D.

  • Internal Medicine Physician
  • Thousand Oaks, CA
  • NPI 1851612402
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1093033987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR",
            "address_2": "SUITE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615229",
            "telephone_number": "805-373-7073",
            "fax_number": "805-373-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR",
            "address_2": "SUITE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615229",
            "telephone_number": "805-373-7073",
            "fax_number": "805-373-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUROS AZAR, MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "KOUROS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-373-7073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A79029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1508935040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta Gail Kopacz, M.A.
• Edwin Korouri, MD
• Leon Sheldon Kosdon, D.D.S.
• Cody Kotelko, DO
• Kouros Azar MD a Professional Corporation
• Kovaian Nursing Corporation
• Joanne Agua Kozel, PHARMACIST
• Jessica 'Autumn' L Kramer, DPT
• Lauri Kreiger
• Kristin J. Santangelo, MD, a Professional Corporation

• Specialist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.