Healthcare Provider Details

I. General information

NPI: 1861954687
Provider Name (Legal Business Name): GEZELLE CHRISTINE AZAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2019
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5319 UNIVERSITY DR # 10219
IRVINE CA
92612-2965
US

IV. Provider business mailing address

5319 UNIVERSITY DR # 10219
IRVINE CA
92612-2965
US

V. Phone/Fax

Practice location:
  • Phone: 714-456-5770
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA178676
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: