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Organization

HED AHMADPOUR MD FACC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HED AHMADPOUR M.D. (PRESIDENT)
(562) 925-8407
Entity
Organization

Contact information

Practice address
3650 E SOUTH STREET, SUITE 110B, LAKEWOOD, CA 90712-1502
(562) 925-8407
(562) 925-1723
Mailing address
25050 AVENUE KEARNY, SUITE 208, VALENCIA, CA 91355-1255
(661) 430-0940
(661) 295-0862

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A30282
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A30282
PRES. MEDICAL LICENSE#
CA
Enumeration date
10/02/2006
Last updated
04/20/2015
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