DERAKHSH FOZOUNI M.D. OB/GYN & ASSOCIATES A MEDICAL CORPORATION NPI 1255587630

NPI Information

DERAKHSH FOZOUNI M.D. OB/GYN & ASSOCIATES A MEDICAL CORPORATION is an obstetrics gynecology in Palm Springs, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DERAKHSH FOZOUNI M.D. OB/GYN & ASSOCIATES A MEDICAL CORPORATION NPI is 1255587630. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

555 E TACHEVAH DR
SUITE 2W-103
PALM SPRINGS, CA
ZIP 92262-750
Phone: (760) 327-2707
Fax: (760) 778-3780

The provider's authorized official is Derakhsh Fozouni .
The authorized official title is Owner and has the following contact phone number (760) 668-0858.

The CLIA number assigned to this NPI record is 05D1093154 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 7/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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