Provider Demographics
NPI:1467585216
Name:AJAR, AMIR H (MD)
Entity type:Individual
Prefix:DR
First Name:AMIR
Middle Name:H
Last Name:AJAR
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3655 LOMITA BLVD STE 308
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3934
Mailing Address - Country:US
Mailing Address - Phone:310-378-8787
Mailing Address - Fax:
Practice Address - Street 1:3655 LOMITA BLVD
Practice Address - Street 2:SUITE #308
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3934
Practice Address - Country:US
Practice Address - Phone:310-378-8787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA114730207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB233003OtherPTAN