Individual
OLIVER ABBAS AHMADPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3688 GOVERNOR DR, SAN DIEGO, CA 92122-2418
(858) 450-1427
Mailing address
3688 GOVERNOR DR, SAN DIEGO, CA 92122-2418
(858) 450-1427
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
A92269
CA
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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