Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A72352 | CA |
N | 111NI0900X | Internist | A72352 | CA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A72352 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | A72352 | CA |
N | 207RI0011X | Interventional Cardiology | A72352 | CA |
NPI | 1669402863 |
---|---|
Provider Name | Dr. Babak Azarbal |
First Address | Los Angeles, CA 90095 |
Second Address | Los Angeles, CA 90095 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H79555 | (02) | CA |