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F FREY AZIZI MD INC NPI 1497823504


NPI Information

NPI: 1497823504
Provider Name: F FREY AZIZI MD INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 05D1103602

Address:
2220 LYNN ROAD
#103
THOUSAND OAKS, CA
ZIP 91360
Phone: (805) 373-1182
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F FREY AZIZI MD INC is a cardiovascular disease internal medicine in Thousand Oaks, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. F FREY AZIZI MD INC NPI is 1497823504. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2220 LYNN ROAD
#103
THOUSAND OAKS, CA
ZIP 91360
Phone: (805) 373-1182
Fax: (805) 373-1184

The provider's authorized official is Fraidon Frey Azizi .
The authorized official title is President and has the following contact phone number (805) 373-1182.

The CLIA number assigned to this NPI record is 05D1103602 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 2/25/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseG82340CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BA4898928OTHERCALIFORNIADEA
2G82340OTHERCALIFORNIALICENSE
3W21344MEDICARE PINCALIFORNIA
4G49693MEDICARE UPINCALIFORNIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.