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Samira Soroudi

Physician Assistant in Pomona, CA. Individual provider (NPI-1).

NPI number1073003166
StatusActive
Last updated in NPPESMay 14, 2018

Details

NPI
1073003166
Entity type
Individual (NPI-1)
Name
Samira Soroudi
Sex
Female
Sole proprietor
No
Enumeration date
May 14, 2018
Last updated
May 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

309 E 2nd St
Pomona, CA 91766-1854

Phone 909-469-5246

Mailing address

309 E 2nd St
Pomona, CA 91766-1854

Other practice locations

4316 Topanga Canyon Blvd
Woodland Hills, CA 91364-5238

Phone 818-340-2221

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