Individual
SHAWDI MANOUCHEHR-POUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 SAN PABLO ST FL 2, LOS ANGELES, CA 90033-5313
(323) 442-8541
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-8541
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A152089
CA
Other
Enumeration date
04/19/2016
Last updated
08/05/2021
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