Individual
MR. EDWIN SAFAEIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
1060 S SHERBOURNE DR APT 202, LOS ANGELES, CA 90035-2367
(310) 717-3712
Mailing address
1060 S SHERBOURNE DR APT 202, LOS ANGELES, CA 90035-2367
(310) 717-3712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA59349
CA
Other
Enumeration date
07/09/2020
Last updated
04/08/2021
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