Individual provider · NPI-1

Azadeh Aghel, MD

Clinical Medical Laboratory · San Diego, CA

NPI number1386042794
StatusActive
Last updated in NPPESFeb 11, 2022

Details

NPI
1386042794
Entity type
Individual (NPI-1)
Name
Azadeh Aghel
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 17, 2014
Last updated
Feb 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical LaboratoryA127369CAYes

Practice location

200 W Arbor Dr # Mc8320
San Diego, CA 92103-1911

Phone 151-030-0726

Mailing address

9135 Judicial Dr Apt 3403
San Diego, CA 92122-4659

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