Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | A40702 | CA |
N | 207VX0000X | Obstetrician | A40702 | CA |
NPI | 1366451908 |
---|---|
Provider Name | Haifa Azawi |
First Address | Paramount, CA 90723-5433 |
Second Address | Paramount, CA 90723-5433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 07/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A263141 | (05) | CA |
160056715 | MEDICARE RAILROAD ID (01) | CA |
95-4037933 | (05) | CA |
A40702 | MEDICAL STATE LICENSE# (01) | CA |
E09201 | (02) | CA |