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Contact Information

AZEBRIA GIPSON
2331 E 120TH ST
LOS ANGELES, CA90059-2629
 Phone: 310-602-9575
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Women

282NW0100X
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for AZEBRIA GIPSON · (Female)

NPI # 1124406012
Status Active
Credentials
Entity Individual
Enumeration date 05/11/2015
Last updated 05/11/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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