Individual
DR. AMIR ABBAS POURADIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24012 CALLE DE LA PLATA STE 120, LAGUNA HILLS, CA 92653-3632
(949) 588-7246
(949) 272-3746
Mailing address
PO BOX 4034, IRVINE, CA 92616-4034
(949) 588-7246
(949) 272-3746
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A80929
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
A80929
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLYING
—
CA
Enumeration date
06/04/2006
Last updated
05/13/2022
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