Provider Demographics
NPI:1255383030
Name:AZIZ, EMAD M (MD)
Entity type:Individual
Prefix:DR
First Name:EMAD
Middle Name:M
Last Name:AZIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2732
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92690-0732
Mailing Address - Country:US
Mailing Address - Phone:714-619-0110
Mailing Address - Fax:714-834-1303
Practice Address - Street 1:999 N TUSTIN AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3528
Practice Address - Country:US
Practice Address - Phone:714-619-0110
Practice Address - Fax:714-834-1303
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA503552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry