Most Relevant Information
Provider Data
| NPI Number: | 1003298019 |
| Provider Name: | SAUM BOBAK GHODOUSSIPOUR M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208800000X |
| Specialty: | Urology |
| License Number: | A137177 |
Most Important Dates
| Enumeration Date: | 06/25/2015 |
| Last Updated: | 11/27/2023 |
Provider Practice Location
1516 SAN PABLO ST FL 5
LOS ANGELES
CA
900335313
Practice Location Phone/Fax
| Phone: | 3238653700 |
| Fax: |
Provider Mailing Location
PO BOX 31309
LOS ANGELES
CA
900310309
Provider Mailing Phone/Fax
| Phone: | 3238653700 |
| Fax: |
Suggested EMR
Urologist EMR