Individual
DELILA POULDAR FOULAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2020 SANTA MONICA BLVD STE 510, SANTA MONICA, CA 90404-2131
(310) 917-3376
(310) 582-6302
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A156834
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
10/04/2022
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