| Simona Davoudpour Do A Professional Medical Corporation | |
|
5757 Wilshire Blvd. Promenade 2 Los Angeles CA 90036 | |
| (424) 284-9027 | |
| Not Available |
| Full Name | Simona Davoudpour Do A Professional Medical Corporation |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 5757 Wilshire Blvd., Los Angeles, California |
| Authorized Official Name and Position | Simona Davoudpour (PRESIDENT) |
| Authorized Official Contact | 4242849027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simona Davoudpour Do A Professional Medical Corporation 1270 S Alfred St Unit 351614 Los Angeles CA 90035-8066 Ph: () - | Simona Davoudpour Do A Professional Medical Corporation 5757 Wilshire Blvd. Promenade 2 Los Angeles CA 90036 Ph: (424) 284-9027 |
| NPI Number | 1346712866 |
|---|---|
| Provider Enumeration Date | 12/21/2018 |
| Last Update Date | 12/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346712866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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