SearchCalifornia106E00000X

Azure Champlain

NPI 1124472659 · on the registry since 2016

Practice

Address
2928 Jefferson St Ste 100
Carlsbad, CA 92008
Phone
(855) 223-7123
Fax
(619) 374-7134
Clinicians at this address
610

Registry record

Primary taxonomy
106E00000X
106E00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California