NPIMap

Organization Active NPI

Iraj Azizi, M.D Inc.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1467740621
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A43320 Issued in CA
Legal business name
IRAJ AZIZI, M.D INC.
Practice address
9200 W Pico Blvd
Los Angeles, CA 90035-1319
Phone
(310) 274-9500
NPI assigned
Jul 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Mr. Iraj Azizi, M.D.
Title
Manager
Phone
(310) 274-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A43320 CA Primary

Addresses

Primary practice location

9200 W Pico Blvd
Los Angeles, CA 90035-1319

Mailing address

9200 W Pico Blvd
Los Angeles, CA 90035-1319
Phone (310) 274-9500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1467740621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351319",
            "telephone_number": "310-274-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351319",
            "telephone_number": "310-274-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRAJ AZIZI, M.D INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "AZIZI",
        "authorized_official_first_name": "IRAJ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-274-9500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A43320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.