Azzam, Amelia Alejandra
Azzam, Amelia Alejandra is an sole proprietor health care provider with primary practice located at 1801 S Poplar St , Santa Ana CA 92704-4321. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Azzam, Amelia Alejandra can be contacted via phone (714) 433-3481.Contact Information
Primary practice address
1801 S Poplar St
Santa Ana CA 92704-4321
Phone: (714) 433-3481
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | 75284 | California |
Profile Details
| NPI number | 1982984167 |
|---|---|
| LBN Legal business name | Azzam, Amelia Alejandra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2011 |
| Last updated | Feb 8th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982984167 | NPPES |
| California | Other | 95-2633765 | MEDI-CAL |
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