MINOO AZADEH (NPI# 1548372824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548372824 |
| Entity Type | Individual |
| Full Name | MINOO AZADEH |
| Credential | MD |
| Practice Address |
11254 Gothic Ave Granada Hills CA 91344-3709 |
| Mailing Address |
8902 Woodman Ave Arleta CA 91331-6401 |
| Practice Telephone | 8183684442 |
| Practice Fax Number | 8183685053 |
| Mailing Telephone | 8188307033 |
| Mailing Fax Number | 8188910953 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A38738 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70468F | 05 | |
| CA | LICENSE # | A38738 | 01 |
| Street Address |
11254 GOTHIC AVE |
| City | GRANADA HILLS |
| State | CA |
| Zip Code | 91344-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230296 | A&e Home Health Care Inc | Home Health | 17631 Chatsworth Street Ste B Room C, Granada Hills, CA 91344 | 2020-06-23 |
| 1710547690 | The Institute for Professional Parenting (tipp) | Psychologist | 15650 Devonshire Street, Suite 210-212, Granada Hills, CA 91344 | 2019-06-13 |
| 1972066934 | Apple Speech and Educational Services, Inc. | Speech-Language Pathologist | 16853 Rinaldi Street, Granada Hills, CA 91344 | 2019-04-08 |
| 1376016642 | Hypnos Sleep Laboratory & Treatement Center, Inc | Clinic/Center | 17050 Chatsworth Blvd. Suite 243, Granada Hills, CA 91344 | 2019-01-09 |
| 1225503543 | Miguel Angel Salas | Naturopath | 10315 Woodley Ave., Suite 103 & 104, Granada Hills, CA 91344 | 2018-10-13 |
| 1790264588 | Ben Maguerrero | Respiratory Therapist, Registered | 16851 Simonds St, Granada Hills, CA 91344 | 2018-08-13 |
| 1265962856 | Safe Med Tranz Inc. | Non-emergency Medical Transport (VAN) | 16000 Horace St, Granada Hills, CA 91344 | 2017-06-15 |
| 1942731302 | Arthur Perez | Physical Therapy Assistant | 11233 Montgomery Ave., Granada Hills, Granada Hills, CA 91344 | 2017-03-27 |
| 1649718990 | Eugene Tan Aguilar | Nurse Practitioner | 16718 San Fernando Mission Blvd, Granada Hills, CA 91344 | 2017-02-07 |
| 1295282739 | San Fernando Mission Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 17157 San Fernando Mission Blvd., Granada Hills, CA 91344 | 2016-09-01 |
| Find all providers in zip 91344 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225500945 | Avanti Home Doctors, Inc. | General Practice | 17050 Chatsworth St Ste 253, Granada Hills, CA 91344-5897 | 2018-12-19 |
| 1790176782 | Ramesh Sharma | General Practice | 16352 Keeler Dr, Granada Hills, CA 91344-3035 | 2015-02-11 |
| 1770709594 | George Bridi | General Practice | 12521 Nedra Dr, Granada Hills, CA 91344-1847 | 2007-04-18 |
| 1003094020 | Richard Niemeyer, Md, Inc. | General Practice | 17709 Chatsworth St, Granada Hills, CA 91344-5604 | 2008-01-31 |
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|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | GRANADA HILLS |
| Zip Code | 91344 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.