Individual
POURIYA GHAYOUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25395 HANCOCK AVE STE 240250, MURRIETA, CA 92562-9019
(951) 557-1600
(951) 557-1740
Mailing address
PO BOX 8520, REDLANDS, CA 92375-1720
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD61041166
WA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A148106
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932581295
—
WA
Enumeration date
06/23/2015
Last updated
08/25/2021
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