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Individual

HAMID DAVOUDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
14925 BURBANK BLVD, SHERMAN OAKS, CA 91411-3610
(818) 905-3355
Mailing address
822 S ROBERTSON BLVD STE 100, LOS ANGELES, CA 90035-1630
(818) 905-3355

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
53624
CA

Other

Enumeration date
08/19/2016
Last updated
12/09/2016
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