Healthcare Provider Details

I. General information

NPI: 1730626722
Provider Name (Legal Business Name): AELA PAIZ DO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2017
Last Update Date: 01/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9620 CLYBOURN AVE
SUN VALLEY CA
91352-1623
US

IV. Provider business mailing address

PO BOX 50567
LOS ANGELES CA
90050-0567
US

V. Phone/Fax

Practice location:
  • Phone: 323-599-0068
  • Fax:
Mailing address:
  • Phone: 323-599-0068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AELA PAIZ
Title or Position: OB/GYN
Credential: D.O
Phone: 323-599-0068