Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EHSAN AZIMI, MD
Active Sole ProprietorDR. EHSAN AZIMI, MD is a Dermatology healthcare provider located in EL SEGUNDO, California. NPI 1215457015 is currently active in the NPPES registry. Verify at CMS.
Dermatology · EL SEGUNDO, CA
Registration Details
- NPI Number
- 1215457015
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2017 (9.1783514168636 yrs)
- Last Updated
- Jul 7, 2021
- License
-
A172626 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
713 N DOUGLAS STEL SEGUNDO, CA, 902452830Browse CA providers · Browse ZIP 90245
- Phone
- 3109062788
- Fax
- 3109062786
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in EL SEGUNDO, CA
| Name | Credential | NPI |
|---|---|---|
| KARAN ANN KORTLANDER | N.P. | 1174163703 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.