# SIMONA DAVOUDPOUR DO A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Platinum Physicians Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346712866
- **Authorized official:** DR. SIMONA DAVOUDPOUR DO (PRESIDENT)
- **Authorized official phone:** (424) 284-9027

## Contact information

- **Practice address:** 5757 WILSHIRE BLVD., PROMENADE 2, LOS ANGELES, CA 90036
- **Practice address phone:** (424) 284-9027
- **Mailing address:** 1270 S ALFRED ST UNIT 351614, LOS ANGELES, CA 90035-8066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/21/2018
- **Last updated:** 12/21/2018