Individual
MEHDI SOLEIMANPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 OLD NEWPORT BLVD, SUITE #201, NEWPORT BEACH, CA 92663-4291
(949) 999-2950
(949) 999-2943
Mailing address
PO BOX 60049, ARCADIA, CA 91066-6049
(626) 698-7246
(626) 447-1058
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35038629S
OH
2085R0202X
Diagnostic Radiology Physician
Primary
A35230
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A352300
BLUE SHIELD
CA
05
—
00A352300
—
CA
Enumeration date
09/12/2005
Last updated
06/01/2012
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