Doctor Name: | MRS. NEDA VOSSOUGHI |
NPI Number: | 1114063898 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | A3530487 |
Business Practice Address: | 17232 Red Hill Avenue Irvine, CA - 92614 |
Business Phone Number: | 9497521111 |
Business Fax Number: | 9497521133 |
Mailing Address: | 18582 Beach Blvd, Suite 23a HUNTINGTON BEACH |
State: | CA |
Postal Code: | 92648 |
Phone Number: | 7149644448 |
Fax Number: | 7149633780 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A3530487 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |