Individual
DR. SAUM BOBAK GHODOUSSIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1516 SAN PABLO ST FL 5, LOS ANGELES, CA 90033-5313
(323) 865-3700
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 865-3700
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA10839500
NJ
208800000X
Urology Physician
A137177
CA
Other
Enumeration date
06/25/2015
Last updated
09/03/2025
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