Azusa Way Family Medical Clinic
Organization Active NPI Family Medicine Physician · La Puente, CA
NPI 1508055922 · NPPES record last updated Oct 22, 2007
Key facts
- NPI
- 1508055922
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- AZUSA WAY FAMILY MEDICAL CLINIC
- Practice address
- 561 S Azusa Way
La Puente, CA 91744-5113 - Phone
- (626) 912-6670
- NPI assigned
- Oct 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Hoda Farid
- Title
- Dircector
- Phone
- (626) 912-6670
Practitioners 2
-
Rosanna Wadie Iskander, M.D.
-
Heidi Tawadros, PA.C
National Provider Directory
Locations
561 S Azusa Way
La Puente, CA 91744
Phone (626) 912-6670
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
561 S Azusa Way
La Puente, CA 91744-5113
Mailing address
561 S Azusa Way
La Puente, CA 91744-5113
Phone (626) 912-6670
Other providers in La Puente, CA
- Georgina Anna Arroyo
- Guillermo Arzola
- Kira Kristine Au
- Axon Neurodiagnostics
- Nagwa L Azer
- B. Deirmenjian, DDS, Inc.
- Baart
- Baart Behavioral Health Services, Inc.
- Baart Community Healthcare
- Baart Programs
All providers in La Puente, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.