Organization
FATANEH AMIDI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATANEH AMIDI M.D, (PRESIDENT)
(310) 373-7900
Entity
Organization
Contact information
Practice address
3400 LOMITA BLVD, SUITE 500, TORRANCE, CA 90505-4909
(310) 373-7900
(310) 373-7940
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A118879
CA
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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