Khazaeli, Azin

Khazaeli, Azin is an sole proprietor health care provider with primary practice located at 4445 Eastgate Mall Fl 2 , San Diego CA 92121-1979. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Khazaeli, Azin can be contacted via phone (619) 436-4691.

Contact Information

Primary practice address
4445 Eastgate Mall Fl 2 San Diego CA 92121-1979
Phone: (619) 436-4691
Fax: (415) 484-1944
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A154274 California

Profile Details

NPI number 1326433525
LBN Legal business name Khazaeli, Azin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2015
Last updated Oct 7th, 2019 - about 7 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.

Request for update

Popular Providers