AMR AZZAM MD, PHD – NPI #1013898774
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

AMR AZZAM is an ophthalmologist located in LOMA LINDA, CA. NPPES has assigned the NPI number 1013898774 to AMR AZZAM on September 09, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMR AZZAM below.

NPI Profile for
AMR AZZAM

NPI Number
1013898774
Enumeration Date

(about 9 months ago)
Entity Type
Type-1  Individual (Male)
Legal Name
AMR AZZAM
Credentials
MD, PHD
Primary location
11234 ANDERSON ST
LOMA LINDA, CA 92350-1700
Phone: (909) 558-2182 Fax:
Mailing address
11234 ANDERSON STREET GME OFFICE UA-202
LOMA LINDA, CA 92350-1700
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Sep 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0107X
- Ophthalmology / Retina Specialist (Primary)
CA SPI911

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.