Individual
ABBAS GHODOUMIPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24372 ROCKFIELD BLVD, LAKE FOREST, CA 92630-4742
(949) 830-5090
(940) 830-9419
Mailing address
24372 ROCKFIELD BLVD, LAKE FOREST, CA 92630-4742
(949) 830-5090
(940) 830-9419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
54336
CA
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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