Individual
HOOMAN MADYOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 S SAN VICENTE BLVD STE 350, LOS ANGELES, CA 90048-4659
(310) 402-8858
(310) 708-0175
Mailing address
640 S SAN VICENTE BLVD STE 350, LOS ANGELES, CA 90048-4659
(310) 402-8858
(310) 708-0175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A48701
CA
207RC0000X
Cardiovascular Disease Physician
A48701
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A487011
—
CA
Enumeration date
04/04/2006
Last updated
11/29/2023
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