Tamadon, Shokouh

Tamadon, Shokouh is an individual health care provider with primary practice located at 15111 Whittier Blvd Suite 102, Whittier CA 90603-2136. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Tamadon, Shokouh can be contacted via phone (562) 945-6440.

Contact Information

Primary practice address
15111 Whittier Blvd Suite 102 Whittier CA 90603-2136
Phone: (562) 945-6440
Fax: (562) 945-9121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A48517 California

Profile Details

NPI number 1992703912
LBN Legal business name Tamadon, Shokouh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Apr 20th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992703912 NPPES
California Other 00A485170 BLUE SHIELD
California Other B002 BLUE SHIELD
California Other 080181067 BLUE SHIELD
California MEDICAID 00A485170 BLUE SHIELD
California Other A48517 BLUE SHIELD

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