Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ehsan Mohammad Azzami

Individual provider Other Technician · NPI 1356965537

Ehsan Mohammad Azzami is an Other Technician in Elk Grove, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

2609 Snowy Egret Way
Elk Grove, CA 95757-8176
Phone: (469) 583-4110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X (CA)

Record details

NPI number1356965537
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2020
Last updated in NPPESJune 3, 2020
Certification dateJune 3, 2020
Mailing address7108 S Kanner Hwy, Stuart, FL 34997-7462

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