# ASHKAN SALAMATIPOUR DO INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164221685
- **Authorized official:** ASHKAN SALAMATIPOUR DO (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (949) 200-1964

## Contact information

- **Practice address:** 400 NEWPORT CENTER DR STE 602A, NEWPORT BEACH, CA 92660-7629
- **Practice address phone:** (949) 200-1964
- **Practice address fax:** (949) 209-4818
- **Mailing address:** 3334 E COAST HWY \# 436, CORONA DEL MAR, CA 92625-2328
- **Mailing address phone:** (949) 200-1964
- **Mailing address fax:** (949) 209-4818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2025
- **Last updated:** 06/04/2026