Davoudian, Sohail

Davoudian, Sohail is an individual health care provider with primary practice located at 1959 Kingsdale Ave , Redondo Beach CA 90278-3417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Davoudian, Sohail can be contacted via phone (310) 214-1000.

Contact Information

Primary practice address
1959 Kingsdale Ave Redondo Beach CA 90278-3417
Phone: (310) 214-1000
Fax: (310) 214-8540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A44878 California

Profile Details

NPI number 1255462248
LBN Legal business name Davoudian, Sohail
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jan 6th, 2009 - 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 1255462248 NPPES
California MEDICAID GR0059090

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