AZHAR MUTTALIB MD A PROFESSIONAL CORPORATION
NPI 1619011392
Internal Medicine in Torrance, CA

Active since February 16, 2007
23639 HAWTHORNE BLVD, SUITE 102, TORRANCE, CA 90505(310) 373-9980(310) 373-5556 Get Directions Write a Review

NPPES record last updated: September 4, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Azhar Muttalib Md A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZHAR MUTTALIB MD A PROFESSIONAL CORPORATION (NPI 1619011392) is a healthcare organization registered as an internal medicine in Torrance, California and active in the NPI registry since February 2007. The organization lists Azhar Muttalib, Doctor, as its authorized official.

NPPES Registry Identity

NPI1619011392
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAZHAR MUTTALIB MD A PROFESSIONAL CORPORATION
Location Address23639 HAWTHORNE BLVD, SUITE 102Torrance, CA 90505-5930
Mailing Address23639 Hawthorne Blvd, Suite 102Torrance, CA 90505-5930 · (310) 373-9980 · Fax (310) 373-5556
Fax(310) 373-5556
Organization SubpartNo
Authorized OfficialAzhar MuttalibDoctor · (310) 373-9980
Enumeration DateFebruary 16, 2007
Last NPPES UpdateSeptember 4, 2015
✔ NPI 1619011392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
23639 HAWTHORNE BLVD, Torrance, CA 90505

Other Identifiers 3

Medicare ID-Type UnspecifiedA45240CA
Medicaid2591934CA
Medicare UPINE24196CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Azhar Muttalib Md A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Azhar Muttalib MD A Professional Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1124054721
23639 HAWTHORNE BLVD SUITE 102
Torrance, CA 90505
(310) 373-9980
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1679068506
23639 HAWTHORNE BLVD STE 102
Torrance, CA 90505
(310) 373-9980
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497455760
4640 ADMIRALTY WAY STE 500
Marina Del Rey, CA 90292
(888) 880-3451
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Azhar Muttalib MD A Professional Corporation's NPI number?

The NPI number for Azhar Muttalib MD A Professional Corporation is 1619011392. It was assigned to this organization in the NPPES registry on February 16, 2007.

Where is Azhar Muttalib MD A Professional Corporation located?

Azhar Muttalib MD A Professional Corporation is located at 23639 Hawthorne Blvd Suite 102, Torrance, CA 90505. The listed phone number is (310) 373-9980.

What is Azhar Muttalib MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Azhar Muttalib MD A Professional Corporation enrolled in Medicare?

Yes. Azhar Muttalib MD A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Azhar Muttalib MD A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Azhar Muttalib MD A Professional Corporation, in Family Practice, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Azhar Muttalib MD A Professional Corporation was last updated on September 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.