NPI 1093033987

Kouros Azar, MD a Professional Corporation

Organisation Specialist Thousand Oaks, CA

Practice location

Address: 425 Haaland Dr Suite 200, Thousand Oaks, CA 91361-5229
Phone: (805) 373-7073
Fax: (805) 373-1116

Authorised official

Name: Kouros Azar
Title: Owner
Phone: (805) 373-7073

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence A79029 (CA)

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Registry record

NPI: 1093033987
Entity type: Organization
NPI issued: 17 May 2010
Record last updated: 16 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.