Healthcare Provider Details

I. General information

NPI: 1851667661
Provider Name (Legal Business Name): AZITA ASLIAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2012
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 H ST
CHULA VISTA CA
91910
US

IV. Provider business mailing address

12865 STARWOOD LN
SAN DIEGO CA
92131-4211
US

V. Phone/Fax

Practice location:
  • Phone: 619-691-7000
  • Fax:
Mailing address:
  • Phone: 858-472-9294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA118227
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: