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Individual

FATANEH AMIDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9333 IMPERIAL HWY, DOWNEY, CA 90242-2812
(562) 657-4043
Mailing address
1045 ATLANTIC AVE, SUITE 508, LONG BEACH, CA 90813-3408
(562) 437-1882
(562) 437-5417

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A118879
CA
207V00000X
Obstetrics & Gynecology Physician
MT191921
PA

Other

Enumeration date
06/30/2009
Last updated
01/10/2019
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