Active NPI
Robert Azurin, M.D. Inc
- Primary Care Clinic/Center
- South Gate, CA
National Provider Identifier
1982087763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A132890
- Legal business name
- ROBERT AZURIN, M.D. INC
- Practice address
- 4075 Tweedy Blvd
South Gate, CA 90280-6146 - Phone
- (323) 566-4111
- Fax
- (877) 255-1761
- NPI assigned
- Jun 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Anthony Azurin, M.D.
- Title
- President
- Phone
- (562) 644-4179
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | A132890 | CA | Primary |
Addresses
Primary practice location
4075 Tweedy Blvd
South Gate, CA 90280-6146
Mailing address
4075 Tweedy Blvd
South Gate, CA 90280-6146
Phone (323) 566-4111
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436486400000",
"number": "1982087763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4075 TWEEDY BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902806146",
"telephone_number": "323-566-4111",
"fax_number": "877-255-1761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4075 TWEEDY BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902806146",
"telephone_number": "323-566-4111",
"fax_number": "877-255-1761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT AZURIN, M.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-30",
"last_updated": "2015-07-10",
"status": "A",
"authorized_official_last_name": "AZURIN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-644-4179",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "A132890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.