| Doctor Name: | SHOKOUH TAMADON |
| NPI Number: | 1992703912 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | A48517 |
| Business Practice Address: | 15111 Whittier Blvd Suite 102 Whittier, CA - 906032136 |
| Business Phone Number: | 5629456440 |
| Business Fax Number: | 5629459121 |
| Mailing Address: | 15111 Whittier Blvd, Suite 102 WHITTIER |
| State: | CA |
| Postal Code: | 906032136 |
| Phone Number: | 5629456440 |
| Fax Number: | 5629459121 |
| NPI Enumeration Date: | 07/13/2005 |
| NPI Last Update Date: | 04/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A48517 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |