Individual
POOYA JAVIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-9307
Mailing address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-9307
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
A136095
CA
Other
Enumeration date
05/05/2010
Last updated
11/29/2021
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