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05D1047844 CLIA NUMBER - AZHAR MUTTALIB, MD

Laboratory Demographics

CLIA Number: 05D1047844

Facility Name: AZHAR MUTTALIB, MD

Facility Address:
23639 HAWTHORNE BLVD STE 102
TORRANCE, CA
ZIP 90505
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Facility Phone Number: 310 373-9980

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1124054721

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 05D1047844
LAB Type Physician Office
Facility Name AZHAR MUTTALIB, MD
Street 23639 HAWTHORNE BLVD STE 102
City TORRANCE
State CA
ZIP 90505
Phone 310 373-9980
CertificateType 4
CertificateEffectiveDate 8/25/2023
CertificateExpirationDate 8/24/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024