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NPI Code Detail

MEDICARE: AZITA MUNSIF AZIZI

MEDICARE: AZITA MUNSIF AZIZI
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
11041C0700XClinical Social Worker111500CA
2104100000XSocial Worker

General Provider Information

NPI Number : 1720487895
Entity Type Code : Individual
Provider Name (Legal Business Name) : AZITA MUNSIF AZIZI
Provider Business Mailing Address
First Line : 4368 LINCOLN AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94602-2529
Country : US
Telephone Number : 510-531-3111
Fax Number : 510-530-8083
Provider Business Practice Location Address
First Line : 4368 LINCOLN AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94602-2529
Country : US
Telephone Number : 510-531-3111
Fax Number : 510-530-8083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2014
Last Update Date : 04/07/2026

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Directions to “ AZITA MUNSIF AZIZI ” Practice Location

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