Djodeir, Masoomeh
Djodeir, Masoomeh is an individual health care provider with primary practice located at 2925 North Palo Verde Ave. , Long Beach CA 90815. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Djodeir, Masoomeh can be contacted via phone (562) 429-2473.Contact Information
Primary practice address
2925 North Palo Verde Ave.
Long Beach CA 90815
Phone: (562) 429-2473
Fax: (562) 496-5577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-4151 | Arkansas |
Profile Details
| NPI number | 1568442986 |
|---|---|
| LBN Legal business name | Djodeir, Masoomeh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Feb 4th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568442986 | NPPES |
| Arkansas | Other | 05070016600 | QUAL CHOICE |
| Arkansas | Other | 2563342 | QUAL CHOICE |
| Arkansas | MEDICAID | 157173001 | QUAL CHOICE |
| Arkansas | Other | 7484660 | QUAL CHOICE |
| Arkansas | Other | 5652522 | QUAL CHOICE |
| Arkansas | Other | 5N077 | QUAL CHOICE |
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