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

Jack Azad, MD

Individual provider General Practice Physician · NPI 1841489440

Jack Azad, MD is a General Practice in Los Angeles, California. Qualified in 1991, 35 years ago. Offers telehealth. Licensed in California.

Years since qualifying
35
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11900 Avalon Blvd #100
Los Angeles, CA 90061-2867
Phone: (323) 756-1317
Fax: (323) 756-4015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A54433 (CA)

Record details

NPI number1841489440
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 18, 2007
Last updated in NPPESJune 15, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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