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Organization
SIMONA DAVOUDPOUR DO A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
SIMONA DAVOUDPOUR DO A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Platinum Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMONA DAVOUDPOUR DO (PRESIDENT)
(424) 284-9027
Entity
Organization
Contact information
Practice address
5757 WILSHIRE BLVD., PROMENADE 2, LOS ANGELES, CA 90036
(424) 284-9027
Mailing address
1270 S ALFRED ST UNIT 351614, LOS ANGELES, CA 90035-8066
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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