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Individual

DR. ASHLEY KEMPF LOTFIPOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., M.B.A.

Contact information

Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 645-3534
Mailing address
471 OLD NEWPORT BLVD STE 302, NEWPORT BEACH, CA 92663-4244
(949) 645-3534

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A115433
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A1154330
BC/BS OF CA
CA
05
1548585375
CA
Enumeration date
04/05/2010
Last updated
07/08/2015
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