Provider Demographics
NPI:1952385544
Name:AZIMIAN, KIAN J (MD)
Entity Type:Individual
Prefix:DR
First Name:KIAN
Middle Name:J
Last Name:AZIMIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11304 STANCOMBE LN
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-7003
Mailing Address - Country:US
Mailing Address - Phone:661-587-9744
Mailing Address - Fax:661-587-9744
Practice Address - Street 1:420 34TH ST
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2237
Practice Address - Country:US
Practice Address - Phone:661-327-9095
Practice Address - Fax:661-326-8507
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA84315207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A843150Medicaid
CAI08962Medicare UPIN
CA00A843150Medicaid
CA00A843155Medicare PIN