Individual
SYRUS FERIDOUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 S CHEVY CHASE DR STE 250, GLENDALE, CA 91205-4433
(818) 265-2264
(818) 265-2263
Mailing address
801 S CHEVY CHASE DR STE 250, GLENDALE, CA 91205-4433
(818) 265-2264
(818) 265-2263
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A97912
CA
207QA0505X
Adult Medicine Physician
Primary
A97912
CA
Other
Enumeration date
03/09/2007
Last updated
07/11/2007
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