Individual
DR. SOORENA FATEHCHEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
(562) 491-9047
(562) 491-9251
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
A132575
CA
Other
Enumeration date
06/23/2011
Last updated
01/02/2020
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