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NPI Code Detail

MEDICARE: DR. HASSAN JON AZIMI M.D.

MEDICARE:  DR. HASSAN JON AZIMI  M.D.
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
1207XS0106XOrthopaedic Hand Surgery Physician036.148147IL
2207XS0106XOrthopaedic Hand Surgery PhysicianA132540CA

General Provider Information

NPI Number : 1932547536
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HASSAN JON AZIMI M.D.
Provider Business Mailing Address
First Line : 8008 FROST ST STE 403
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-4209
Country : US
Telephone Number : 858-715-9200
Fax Number :
Provider Business Practice Location Address
First Line : 8008 FROST ST STE 403
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-4209
Country : US
Telephone Number : 858-715-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2013
Last Update Date : 08/05/2020

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Directions to “ DR. HASSAN JON AZIMI M.D.” Practice Location

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