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NPI Code Detail

MEDICARE: MRS. ANGELA ALEXANDRA AYZIN DDS

MEDICARE:  MRS. ANGELA ALEXANDRA AYZIN  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist41813CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710184213
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA ALEXANDRA AYZIN DDS
Provider Business Mailing Address
First Line : 1621 COLORADO BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90041-1402
Country : US
Telephone Number : 323-344-0448
Fax Number : 323-256-0727
Provider Business Practice Location Address
First Line : 1621 COLORADO BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90041-1402
Country : US
Telephone Number : 323-344-0448
Fax Number : 323-256-0727
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. ANGELA ALEXANDRA AYZIN DDS” Practice Location

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