Nicola Azar MD, Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

3886023 Issued in CA

Legal business name

NICOLA AZAR MD, INC

Practice address

866 N Vermont Ave
Suite 3
Los Angeles, CA 90029-3587

Phone

(323) 661-0105

NPI assigned

Apr 29, 2016

Organization subpart

No

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

Authorized official

Name

Nicola Azar, MD

Title

Owner

Phone

(323) 661-0105

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1760837538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 N VERMONT AVE",
            "address_2": "SUITE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293587",
            "telephone_number": "323-661-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 N VERMONT AVE",
            "address_2": "SUITE 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293587",
            "telephone_number": "323-661-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLA AZAR MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-661-0105",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "3886023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melva Nickleberry
• Leigh Grossman Nickoll
• Grace Aurore Nicksa, M.D.
• Maria C. Nicodemo de Gallo, LMFT
• Jared Nicol
• Nicola Medical Center
• Lisa Nicola
• Luciano Nicolaci
• Rachael Wiley Nicolaisen, DPT
• Despina Colette Nicolaou, M.S.

• Adult Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.