KOUROS AZAR, MD A PROFESSIONAL CORPORATION (NPI# 1093033987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093033987 |
| Entity Type | Organization |
| Organization Name | KOUROS AZAR, MD A PROFESSIONAL CORPORATION |
| Practice Address |
425 Haaland Dr Suite 200 Thousand Oaks CA 91361-5229 |
| Practice Telephone | 8053737073 |
| Practice Fax Number | 8053731116 |
| Mailing Telephone | 8053737073 |
| Mailing Fax Number | 8053731116 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | DR. KOUROS AZAR (OWNER) |
| Authorized Official Telephone | 8053737073 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A79029 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | INDIVIDUAL NPI | 1508935040 | 01 |
| Street Address |
425 HAALAND DR SUITE 200 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91361-5229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477583110 | Beverley Kornder | Family Medicine | 425 Haaland Dr, #103, Thousand Oaks, CA 91361-5229 | 2006-07-04 |
| 1841666534 | Adventist Health Physicians Network | Internal Medicine | 425 Haaland Dr, 101, Thousand Oaks, CA 91361-5229 | 2015-08-17 |
| 1497161780 | Heraj Patel, Dpm Inc | Podiatrist | 425 Haaland Dr, Suite 201, Thousand Oaks, CA 91361-5229 | 2014-07-07 |
| 1083952337 | University Bariatrics, A Professional Corporation | Surgery | 425 Haaland Dr, #203, Thousand Oaks, CA 91361-5229 | 2013-01-22 |
| 1023361862 | Brooke Gifford, Dpm Inc | Podiatrist | 425 Haaland Dr, 201, Thousand Oaks, CA 91361-5229 | 2012-10-17 |
| 1114216892 | Southern California Anesthesia & Pain Management, Inc | Psychiatry & Neurology | 425 Haaland Dr, Suite#101, Thousand Oaks, CA 91361-5229 | 2011-04-01 |
| 1508163767 | Specialty Surgical Institute Inc | Clinic/Center | 425 Haaland Dr, Ste 100, Thousand Oaks, CA 91361-5229 | 2011-02-23 |
| 1366766792 | Gil Kryger Md | Plastic Surgery | 425 Haaland Dr, Suite 102, Thousand Oaks, CA 91361-5229 | 2010-03-14 |
| 1265686299 | Anitha Srinivasa, Md, Inc. | Internal Medicine | 425 Haaland Dr, Suite 103, Thousand Oaks, CA 91361-5229 | 2008-11-04 |
| 1770747305 | Mizin Park Kawasaki | Pediatrics | 425 Haaland Dr, Suite 104, Thousand Oaks, CA 91361-5229 | 2008-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328379 | Lauren Kaprielian Davidson | Speech-Language Pathologist | Fox Therapy Services, 31822 Village Center Rd, Ste. 107, Westlake Village, CA 91361 | 2020-08-26 |
| 1679118749 | Min A Baek | Optometrist | 4353 Park Terrace Dr., #150, Westlake Village, CA 91361 | 2019-11-13 |
| 1417429952 | Kimberly Joanne Yudt | Behavioral Analyst | 660 Hampshire Road, Suite 100, Westlake Village, CA 91361 | 2018-12-21 |
| 1932671773 | Rachel Sonya Chistyakov | Marriage & Family Therapist | 32107 Undero Canyon Rd, Suite 203, Westlake Village, CA 91361 | 2018-12-18 |
| 1447778394 | Spirit Healthcare Hospice, Inc. | Hospice Care, Community Based | 30941 Agoura Rd., Suite 112, Westlake Village, CA 91361 | 2017-08-30 |
| 1023556313 | Lindsay Gooze | Marriage & Family Therapist | 38122 Village Center Rd., Ste.102, Westlake Village, CA 91361 | 2017-02-07 |
| 1851839419 | Casey J. Simon | Counselor | 1800 Bridgegate Street, Suite #108, Westlake Village, CA 91361 | 2017-02-03 |
| 1689124851 | David Schwartz | Marriage & Family Therapist | 30961 Agoura Rd Ste 215, Westlake Village, CA 91361 | 2016-10-11 |
| 1932655735 | Sherry Safavi | Counselor | 677 Colorado Blivd, Los Angeles, CA 91361 | 2016-08-31 |
| 1053795393 | Kashmir Trading Inc. | Durable Medical Equipment & Medical Supplies | 790 Hampshire Rd. Ste #b, Westlake Village, CA 91361 | 2015-07-16 |
| Find all providers in zip 91361 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952721631 | Lindsey Elizabeth Ethridge | Specialist | 1735 Sweet Briar Pl, Thousand Oaks, CA 91362-1256 | 2014-04-22 |
| 1740629799 | Shannah Tenner | Specialist | 2400 Willow Ln, Thousand Oaks, CA 91361-4958 | 2013-06-21 |
| 1821280629 | Alister A George | Specialist | 3510 N. Moorpark Rd, Suite 201, Thousand Oaks, CA 91360 | 2007-08-15 |
| 1205033800 | Southern California Pulmonary and Sleep Disorders Medical Center Inc. | Specialist | 2230 Lynn Rd Ste 101, Thousand Oaks, CA 91360-1917 | 2007-06-28 |
| 1972708840 | Vrej Grigorian | Specialist | 1202 Calle Pecos, Thousand Oaks, CA 91360-2347 | 2007-06-19 |
| 1639385735 | Total-care Medical Center | Specialist | 1429 E Thousand Oaks Blvd Ste 210, Thousand Oaks, CA 91362-6238 | 2007-05-15 |
| 1891919114 | Ronald Brooks | Specialist | 1333 E Thousand Oaks Blvd, Suite #108, Thousand Oaks, CA 91362-2826 | 2007-04-11 |
| 1831213388 | The Hand & Upper Extremity Center Inc | Specialist | 101 Hodencamp Rd Ste 100, Thousand Oaks, CA 91360-5831 | 2007-03-19 |
| 1881723351 | Michael H Gollub | Specialist | 299 W Hillcrest Dr Ste 100, Thousand Oaks, CA 91360-7820 | 2007-03-02 |
| 1396871125 | Paul L. Dudley, M.d., A Medical Corporation | Specialist | 2220 Lynn Rd Ste 206, Thousand Oaks, CA 91360-8007 | 2007-02-26 |
| Find all providers in THOUSAND OAKS | ||||
| City | THOUSAND OAKS |
| Zip Code | 91361 |
Please comment or provide details below to improve the information on KOUROS AZAR, MD A PROFESSIONAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.