Healthcare Provider Details

I. General information

NPI: 1033750856
Provider Name (Legal Business Name): YASMEEN ALEXANDRA AZIZIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2019
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27555 YNEZ RD
TEMECULA CA
92591-4687
US

IV. Provider business mailing address

39930 WHITEWOOD RD APT B101
MURRIETA CA
92563-5579
US

V. Phone/Fax

Practice location:
  • Phone: 951-466-3196
  • Fax:
Mailing address:
  • Phone: 818-919-2110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: