SIMONA DAVOUDPOUR DO A PROFESSIONAL MEDICAL CORPORATION (NPI# 1346712866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346712866 |
| Entity Type | Organization |
| Organization Name | SIMONA DAVOUDPOUR DO A PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
5757 Wilshire Blvd. Promenade 2 Los Angeles CA 90036 |
| Mailing Address |
1270 S Alfred St Unit 351614 Los Angeles CA 90035-8066 |
| Practice Telephone | 4242849027 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |
| Authorized Official Name | DR. SIMONA DAVOUDPOUR (PRESIDENT) |
| Authorized Official Telephone | 4242849027 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Platinum Physicians Group | Doing Business As Name - Organization |
| Street Address |
5757 WILSHIRE BLVD. PROMENADE 2 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140198 | Stephanie N Carter | Dietitian, Registered | 460 Burnside Ave, Apt 8k, Los Angeles, CA 90036 | 2020-06-26 |
| 1609492107 | Katherine Niemela | Registered Nurse | 5619 W 4th St, Suite 5, Los Angeles, CA 90036 | 2020-06-19 |
| 1508384330 | Matthew Milstein | Psychologist | 5675 West Olympic Blvd., Los Angeles, CA 90036 | 2017-08-31 |
| 1912423963 | John Allen Ostlund | Counselor | 5675 W. Olympic Blvd, Los Angeles, CA 90036 | 2017-08-21 |
| 1306376629 | Scott William Wilson | Case Manager/Care Coordinator | 1891 N. Gaffey Street Suite 219 & 221, San Pedro, CA 90036 | 2017-06-19 |
| 1205382298 | Janice Payson | Marriage & Family Therapist | 801 South Spaulding Avenue, Suite A, Los Angeles, CA 90036 | 2016-08-30 |
| 1134577281 | Parul A Desai | Registered Nurse | 5800 Wilshire Blvd, Los Angeles, CA 90036 | 2016-05-31 |
| 1477914604 | Sarah Frank Jarvis | Marriage & Family Therapist | 7421 Beverly Blvd Ste 2, Los Angeles, CA 90036 | 2016-03-16 |
| 1558747162 | Paul Oberon, Psy.d, Inc. | Community/Behavioral Health | 7421 Beverly Blvd., #10, Los Angeles, CA 90036 | 2015-08-05 |
| 1235543117 | Benjamin Maixner | Behavioral Analyst | 441 1/2 N Curson Ave, Los Angeles, CA 90036 | 2014-06-18 |
| Find all providers in zip 90036 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
| 1265902928 | Shivangi Amin Md, Inc | Family Medicine | 701 N Alvarado St Fl 1, Los Angeles, CA 90026 | 2018-11-26 |
| 1952660599 | Lacy Little Knowles | Family Medicine | 6801 Park Ter Ste 130, Los Angeles, CA 90045 | 2012-05-15 |
| 1316219058 | Robert A Tracy | Family Medicine | 3056 Fletcher Dr, Los Angeles, CA 90065-2207 | 2012-01-26 |
| 1245525690 | Mahendra G Sanathra | Family Medicine | 2015 E. Florence Ave., Los Angeles, CA 90001-2754 | 2011-06-14 |
| 1811056500 | Mcgarrity D O Medical Corporation | Family Medicine | 3750 Santa Rosalia Dr, Suite 101, Los Angeles, CA 90008-3627 | 2006-12-08 |
| 1083626543 | Jeffrey Steven Harris | Family Medicine | 11560 W Pico Blvd, Los Angeles, CA 90064-1520 | 2006-08-13 |
| 1952336752 | Lydia Marie Green | Family Medicine | 6033 W Century Blvd Ste 200, Los Angeles, CA 90045-6440 | 2006-07-11 |
| 1245273820 | Edwin H Choi | Family Medicine | 3663 W 6th St Ste 103, Los Angeles, CA 90020 | 2006-06-13 |
| 1831671411 | Suh Hee Kim | Family Medicine | 3663 W 6th St Ste 103, Los Angeles, CA 90020-3047 | 2018-08-30 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90036 |
Please comment or provide details below to improve the information on SIMONA DAVOUDPOUR DO A PROFESSIONAL MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.