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SIMONA DAVOUDPOUR DO A PROFESSIONAL MEDICAL CORPORATION NPI 1346712866


NPI Information

NPI: 1346712866
Provider Name: SIMONA DAVOUDPOUR DO A PROFESSIONAL MEDICAL CORPORATION
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
5757 WILSHIRE BLVD.
PROMENADE 2
LOS ANGELES, CA
ZIP 90036
Phone: (424) 284-9027
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SIMONA DAVOUDPOUR DO A PROFESSIONAL MEDICAL CORPORATION is an adult medicine family medicine in Los Angeles, CA. The provider is definition to come. SIMONA DAVOUDPOUR DO A PROFESSIONAL MEDICAL CORPORATION NPI is 1346712866. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5757 WILSHIRE BLVD.
PROMENADE 2
LOS ANGELES, CA
ZIP 90036
Phone: (424) 284-9027

The provider's authorized official is Simona Davoudpour .
The authorized official title is President and has the following contact phone number (424) 284-9027.

The enumeration date for this NPI number is 12/21/2018 and was last updated on 12/21/2018.


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
1207QA0505XFamily MedicineAdult MedicineYes

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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