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TRI-CITY MEDICAL GROUP
NPI 1891795613
General Practice in Los Angeles, CA

Active since July 22, 2005
11900 AVALON BLVD STE 101, LOS ANGELES, CA 90061(323) 756-1317(323) 756-4015 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 15, 2021, Jun 15, 2017 (2 updates tracked since 2017).

About Tri-city Medical Group NPPES

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

TRI-CITY MEDICAL GROUP (NPI 1891795613) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since July 2005. The organization lists Jack Azad, President, as its authorized official.

NPPES Registry Identity

NPI1891795613
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameJACK AZAD,M.D.,INC.
Location Address11900 AVALON BLVD STE 101Los Angeles, CA 90061-2867
Mailing Address11900 Avalon Blvd, #100Los Angeles, CA 90061-2867 · (323) 756-1317 · Fax (323) 756-4015
Phone(323) 756-1317
Fax(323) 756-4015
Organization SubpartNo
Authorized OfficialJack AzadPresident · (323) 756-1317
Enumeration DateJuly 22, 2005
Last NPPES UpdateJune 15, 20212 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
✔ NPI 1891795613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

11900 AVALON BLVD STE 101, Los Angeles, CA 90061
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Other Names 1

Doing Business AsTri-city Medical Group

Other Identifiers 1

Medicaid0A544334CA

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISTIE MAE TAYLOR
Technician/Technologist
11900 AVALON BLVD STE 101
LOS ANGELES, CA 90061
Los Angeles County (323) 920-4959
DR. ANTHONY OLATUNJI SMILES DMD INC
Dentist (General Practice)
11900 AVALON BLVD STE 101
LOS ANGELES, CA 90061
Los Angeles County (310) 331-8134
QUALITY CARE DIAGNOSTIC SERVICES LLC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
11900 AVALON BLVD STE 101
LOS ANGELES, CA 90061
Los Angeles County (323) 880-8048
RICARDO LOPEZ
Technician
11900 AVALON BLVD STE 101
LOS ANGELES, CA 90061
Los Angeles County (323) 880-8048
ANTHONY OLATUNJI D.M.D
Dentist (General Practice)
11900 AVALON BLVD STE 101
LOS ANGELES, CA 90061
Los Angeles County (310) 331-8134

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 Jack Azad,m.D.,inc.'s NPI number?

The NPI number for Jack Azad,m.D.,inc. is 1891795613. It was assigned to this organization in the NPPES registry on July 22, 2005. The provider is doing business as Tri-City Medical Group.

Where is Jack Azad,m.D.,inc. located?

Jack Azad,m.D.,inc. is located at 11900 Avalon Blvd Ste 101, Los Angeles, CA 90061. The listed phone number is (323) 756-1317.

What is Jack Azad,m.D.,inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jack Azad,m.D.,inc. was last updated on June 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.