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SUDABEH MOEIN MDINC NPI 1346434024


NPI Information

NPI: 1346434024
Provider Name: SUDABEH MOEIN, MD,INC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
15611 POMERADO RD
#505
POWAY, CA
ZIP 92064
Phone: (858) 487-2877
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SUDABEH MOEIN, MD,INC is a gynecology obstetrics gynecology in Poway, CA. SUDABEH MOEIN, MD,INC NPI is 1346434024. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15611 POMERADO RD
#505
POWAY, CA
ZIP 92064-437
Phone: (858) 487-2877
Fax: (858) 487-0729

The provider's authorized official is Sudabeh Moein .
The authorized official title is Owner and has the following contact phone number (858) 487-2877.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 3/3/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecologyA67561CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H54508MEDICARE UPINCALIFORNIA
2WA67561EMEDICARE PINCALIFORNIA
300A675610MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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