Organization
SUDABEH MOEIN, MD,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDABEH MOEIN M.D. (OWNER)
(858) 487-2877
Entity
Organization
Contact information
Practice address
15611 POMERADO RD, #505, POWAY, CA 92064-2437
(858) 487-2877
(858) 487-0729
Mailing address
15611 POMERADO RD, #505, POWAY, CA 92064-2437
(858) 487-2877
(858) 487-0729
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A67561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A675610
—
CA
Enumeration date
09/05/2007
Last updated
03/03/2010
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