Provider Demographics
NPI:1609196930
Name:AZER, DAVID SHERIF (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SHERIF
Last Name:AZER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5199 E PACIFIC COAST HWY STE 302
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-7107
Mailing Address - Country:US
Mailing Address - Phone:818-321-3332
Mailing Address - Fax:
Practice Address - Street 1:5199 E PACIFIC COAST HWY STE 302
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-7107
Practice Address - Country:US
Practice Address - Phone:818-321-3332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A10374207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFK337AMedicare PIN