Individual
DR. HED AHMADPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3650 SOUTH ST, SUITE 110B, LAKEWOOD, CA 90712-1502
(562) 925-8407
(562) 925-1723
Mailing address
25050 AVENUE KEARNY, SUITE 208, VALENCIA, CA 91355-1255
(661) 430-0940
(661) 295-0862
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A30282
CA
207RI0011X
Interventional Cardiology Physician
A30282
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A302820
—
CA
01
—
A30282
CALIF MEDICAL LICENSE #
CA
Enumeration date
10/04/2006
Last updated
04/10/2015
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