Jack Azad (NPI# 1841489440, PAC ID# 1456313113) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1841489440 |
| PAC ID by PECOS | 1456313113 |
| Professional Enrollment ID | I20041103001215 |
| Full Name | Jack Azad |
| Address |
11900 S Avalon Blvd Suite 100 Los Angeles CA 90061-2867 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1991 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 11900 S Avalon Blvd, Suite 100, Los Angeles, CA 90061-2867 | ||
| 11507 Oxnard St, Unit 3, North Hollywood, CA 91606-4186 |
| Street Address |
11900 S AVALON BLVD SUITE 100 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90061-2867 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita W Hibler | Family Medicine | 12900 Avalon Blvd, Los Angeles, CA 90061-2734 | |
| Hazel Mckillop | Internal Medicine | 12900 Avalon Blvd, Los Angeles, CA 90061-2734 | |
| Lawrence Howard | Psychologist, Clinical | 12029 S Avalon Blvd, Los Angeles, CA 90061-2838 | |
| Oluwole Fajolu | Thoracic Surgery | Skilled Facility Health Care Solutions Inc | 12029 Avalon Blvd, Los Angeles, CA 90061-2838 |
| City | LOS ANGELES |
| Zip Code | 90061 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | LOS ANGELES + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Jack Azad.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.