# PEGAH MIRHOSSEINI, A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1649733940
- **Authorized official:** PEGAH MIRHOSSEINI MD (PRESIDENT)
- **Authorized official phone:** (562) 221-6680

## Contact information

- **Practice address:** 9436 SLAUSON AVE, PICO RIVERA, CA 90660-4748
- **Practice address phone:** (562) 942-3284
- **Mailing address:** 6255 E 6TH ST, LONG BEACH, CA 90803-2117
- **Mailing address phone:** (562) 221-6680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2019
- **Last updated:** 04/12/2019