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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 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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