Organization
MOE AMADPOUR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOE AMADPOUR M.D. (PRESIDENT)
(805) 583-2643
Entity
Organization
Contact information
Practice address
1159 ROADRUNNER WAY, SIMI VALLEY, CA 93065-3159
(805) 583-2643
(805) 583-0125
Mailing address
PO BOX 800817, SANTA CLARITA, CA 91380-0817
(661) 430-0940
(661) 295-0862
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G81182
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G81182
PRESIDENT'S MCARE ID#
CA
Enumeration date
09/21/2006
Last updated
06/21/2018
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