Individual
ADEENA HOMAMPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2845 MESA VERDE DR E STE 9, COSTA MESA, CA 92626-4858
(714) 697-1907
(714) 464-4555
Mailing address
18685 MAIN ST STE 101-459, HUNTINGTON BEACH, CA 92648-1723
(949) 333-9914
(714) 464-4555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP19128
CA
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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