Organization
SOORENA FATEHCHEHR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOORENA FATEHCHEHR MD (CEO)
(310) 869-3212
Entity
Organization
Contact information
Practice address
529 E 10TH ST FL 2, LONG BEACH, CA 90813-4508
(562) 491-9047
(562) 491-9251
Mailing address
4250 GLENCOE AVE UNIT 1114, MARINA DEL REY, CA 90292-5660
(310) 869-3212
(949) 502-8887
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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