Individual
ASHKAN HAYATDAVOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037
(858) 554-7909
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-7909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A115320
CA
208M00000X
Hospitalist Physician
A115320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023313715
—
CA
Enumeration date
01/11/2011
Last updated
08/01/2018
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