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DR. HED AHMADPOUR M.D.
Cardiovascular Disease >> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1912093436
Individual Registrant:DR. HED AHMADPOUR M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
3650 SOUTH ST SUITE 110B LAKEWOOD, CA 90712-1502 US
Tel: 562-925-8407 Fax: 562-925-1723
Tel: 562-925-8407 Fax: 562-925-1723
Contact information for business:
25050 AVENUE KEARNY SUITE 208 VALENCIA, CA 91355-1255 US
Tel: 661-430-0940 Fax: 661-295-0862
Tel: 661-430-0940 Fax: 661-295-0862
Registration Information:
NPI: 1912093436
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207RC0000X | Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease | CA | A30282 |
| N | 207RI0011X | Allopathic & Osteopathic Physicians Internal Medicine | CA | A30282 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00A302820 | CA | 05 | |
| CALIF MEDICAL LICENSE # | A30282 | CA | 01 |
