Dr. Katherine Marie De Azambuja
Family Doctor - Geriatric Medicine
101 The City Dr S Bldg 25
Orange
, California 92868-3201
Dr. Katherine Marie De Azambuja
Family Doctor - Geriatric Medicine
101 The City Dr S Bldg 25
Orange
, California 92868-3201
(714) 348-0014
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Katherine Marie De Azambuja
- 200 S Manchester Ave Ste 835
- Orange, CA
- Zip : 92868-3213
- Phone : (714) 348-0014
Second Address
- Dr. Katherine Marie De Azambuja
- 101 The City Dr S Bldg 25
- Orange, CA
- Zip : 92868-3201
- Phone : (714) 456-7007
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 159349 | CA |
National Provider Identifier
| NPI | 1336672187 |
|---|---|
| Provider Name | Dr. Katherine Marie De Azambuja |
| First Address | Orange, CA 92868-3213 |
| Second Address | Orange, CA 92868-3201 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2017 |
| Last Update Date | 12/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.