Individual
DR. MAHKAMEH YOUSEFPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2660 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-4708
(323) 588-5343
(323) 588-1780
Mailing address
2660 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-4708
(323) 588-5343
(323) 588-1780
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4751
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4751
STATE LICENSE
CA
Enumeration date
04/17/2008
Last updated
12/03/2009
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