Prenatal Clinic Jonathn Azizzadeh, MD Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A52711 Issued in CA

Legal business name

PRENATAL CLINIC JONATHN AZIZZADEH, MD INC

Practice address

4226 W Beverly Blvd
Los Angeles, CA 90004

Phone

(213) 384-4444

Fax

(213) 249-9300

NPI assigned

Sep 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Azizzadeh, MD

Title

Medical Doctor

Phone

(323) 906-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Lauren Clermont, NP

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1821419342
  NPD (past)

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1942534839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "address_2": "1ST FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276005",
            "telephone_number": "323-906-0000",
            "fax_number": "323-953-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4226 W BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90004",
            "telephone_number": "213-384-4444",
            "fax_number": "213-249-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRENATAL CLINIC JONATHN AZIZZADEH, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "AZIZZADEH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "323-906-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A52711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215949367",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premise Health of California Medical PC
• Premise Health of California Medical, P.C
• Premium Interpreting, Inc
• Alykhan Moez Premji, MD
• Prenatal Clinic Jonathan Azizzadeh, MD, Inc
• Carter Michael Prentice, MD
• Alexander A Prentiss
• Diana Isabella Prepelitsky, PHARMD
• Yisachar Dov Prero, DDS
• Aracely V Prescott

• Obstetrics & Gynecology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.