Healthcare Provider Details

I. General information

NPI: 1023921061
Provider Name (Legal Business Name): ADAM AZULAY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 E ARROW HWY
POMONA CA
91767-2535
US

IV. Provider business mailing address

932 N HUDSON AVE APT 2
LOS ANGELES CA
90038-2534
US

V. Phone/Fax

Practice location:
  • Phone: 909-624-1233
  • Fax:
Mailing address:
  • Phone: 787-310-2163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: