Provider / Organization | NPI | Date Certified |
---|---|---|
MOHAMMAD-ALI DOROUDCHI | 1407316136 | 2024-08-11 |
Mohammad-ali Doroudchi is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407316136. Registration indicates Mohammad-ali Doroudchi is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Allergy & Immunology (Allergy & Immunology, ) (Specialist Network, ) (Allergy & Immunology, Allopathic & Osteopathic Physicians)
Entity Type | Individual |
Provider Name | Mohammad-ali Doroudchi |
Practice Office Address | 9850 GENESEE AVE STE 710 LA JOLLA, CA US |
Practice Office Telephone | 8582602977 |
Mailing Address | 9850 GENESEE AVE STE 710 LA JOLLA, CA 920371218 US |
Business Telephone | 8582602977 |
Code | Practice | License No State |
---|---|---|
207K00000X PRIMARY | Allopathic & Osteopathic Physicians Allergy & Immunology Allergy & Immunology Specialist Network Allergy & Immunology Allopathic & Osteopathic Physicians | A177620
CA |