Individual
DR. POOYA ALEXANDER ATAII
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 SCRANTON RD STE 102, SAN DIEGO, CA 92121-7715
(858) 481-7701
(858) 481-7741
Mailing address
9200 SCRANTON RD STE 102, SAN DIEGO, CA 92121-7715
(858) 481-7701
(858) 481-7741
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A87933
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-111-4283
TAX ID
CA
Enumeration date
05/20/2008
Last updated
06/15/2023
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