Individual provider · NPI-1

Elliot Siavash Azizollahi, M.D.

Radiology, Diagnostic Radiology · Torrance, CA

NPI number1508905761
StatusActive
Last updated in NPPESDec 3, 2021

Details

NPI
1508905761
Entity type
Individual (NPI-1)
Name
Elliot Siavash Azizollahi
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 5, 2007
Last updated
Dec 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyA99659CAYes

Practice location

1000 W Carson St
Department Of Radiology
Torrance, CA 90502-2004

Phone 310-222-2847

Mailing address

1000 W Carson St
Department Of Radiology
Torrance, CA 90502-2004

Phone 310-222-2847

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