Organization
NEURODPM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARZAD MASSOUDI MD (FOUNDER, CEO & CMO)
(949) 422-1105
Entity
Organization
Contact information
Practice address
23961 CALLE DE LA MAGDALENA, SUITE 504, LAGUNA HILLS, CA 92653-3616
(949) 422-1105
(949) 380-3344
Mailing address
23961 CALLE DE LA MAGDALENA, SUITE 504, LAGUNA HILLS, CA 92653-3616
(949) 422-1105
(949) 380-3344
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G76503
CA
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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