Farooque Azam is a Pacoima, California based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Farooque Azam is 95014104 for Psych/Mental Health in California. His current practice location is 12450 Van Nuys Blvd Ste 200, Pacoima. Patients can reach him at 818-896-1161 or can fax him at 818-896-5069 with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1689203093. Farooque Azam provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Farooque Azam speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Farooque Azam
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Male
Practice Address:
12450 Van Nuys Blvd Ste 200, Pacoima, California, 91331-1393
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1689203093
NPI Enumeration Date:
07 Apr, 2020
NPI Last Update On:
10 Apr, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Farooque Azam are as mentioned below.
License Number
Specialization
State
Status
95014104
Psych/Mental Health
California
Primary
65014104
Psych/Mental Health
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Farooque Azam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6758
Medicaid
California
7420
Medicaid
California
7068
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Farooque Azam 12450 Van Nuys Blvd Ste 200, Pacoima, California
Zip:
91331-1393
Phone Number:
818-896-1161
Fax Number:
818-896-5069
Patients can reach Farooque Azam at 12450 Van Nuys Blvd Ste 200, Pacoima, California or can call to book an appointment on 818-896-1161.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.