Most Relevant Information
Provider Data
| NPI Number: | 1003321100 |
| Provider Name: | KIMBERLY ELIZABETH AZIZADAH RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN520065 |
Most Important Dates
| Enumeration Date: | 12/11/2017 |
| Last Updated: | 12/11/2017 |
Provider Practice Location
331 THE CITY DR S
ORANGE
CA
928683205
Practice Location Phone/Fax
| Phone: | 7149357131 |
| Fax: |
Provider Mailing Location
2546 MONTEREY PL
FULLERTON
CA
928332082
Provider Mailing Phone/Fax
| Phone: | 7144008736 |
| Fax: |