Individual provider · Type 1 NPI

Dalia Sharona Azizi, PA STUDENT

Student in an Organized Health Care Education/Training Program · San Rafael, CA

NPI number 1598309692 Active

Practice location

50 Acacia Ave
San Rafael, CA 94901-2298

Call (415) 457-9490 Map

Mailing address

165 N Carson Rd
Beverly Hills, CA 90211-2110

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1598309692

Dalia Sharona Azizi, PA STUDENT's National Provider Identifier is 1598309692, issued on Oct 31, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Rafael, CA. The record was last updated on Oct 31, 2019.