DR. MAHER A. AZER M.D. NPI 1124097548

NPI Information

  • NPI: 1124097548
  • Provider Name: DR. MAHER A. AZER, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D0974944
  • Address: 3810 KATELLA AVE
    2ND FLOOR
    LOS ALAMITOS, CA
    ZIP 90720
  • Phone: (562) 426-8881

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NPI Details

DR. Maher A. Azer, M.D. is a specialist in Los Alamitos, CA with 62 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Maher A. Azer, M.D. NPI is 1124097548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3810 KATELLA AVE
2ND FLOOR
LOS ALAMITOS, CA
ZIP 90720-302
Phone: (562) 426-8881
Fax: (562) 594-8085

The NPI 1124097548 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D0974944 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2006 and was last updated on 3/31/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistA24828CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR0092370OTHERCALIFORNIAMEDCAID GRP #
2WA24828AOTHERCALIFORNIAMEDICARE IDENTIFICATION N
300A248280MEDICAIDCALIFORNIA
4ZZZ22408ZOTHERCALIFORNIANORTHERN MEDICARE GRP #
5A83112MEDICARE UPINCALIFORNIA
6W1985OTHERCALIFORNIASOUTHERN MEDICARE GRP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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