Individual
MR. MASSOUD S ALIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 PLACENTIA AVE, SUITE #203, NEWPORT BEACH, CA 92663
(949) 650-2400
(949) 650-2480
Mailing address
PO BOX 11622, COSTA MESA, CA 92627
(949) 650-2400
(949) 650-2480
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C41647
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6443717
—
CA
Enumeration date
12/27/2006
Last updated
07/09/2007
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