Provider Demographics
NPI:1285954149
Name:AMOOEE, ASHKAN (MD)
Entity type:Individual
Prefix:DR
First Name:ASHKAN
Middle Name:
Last Name:AMOOEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11525 BROOKSHIRE AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-4982
Mailing Address - Country:US
Mailing Address - Phone:323-201-6800
Mailing Address - Fax:323-201-4900
Practice Address - Street 1:11525 BROOKSHIRE AVE STE 400
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4982
Practice Address - Country:US
Practice Address - Phone:323-201-6800
Practice Address - Fax:323-201-4900
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-02
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA112602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine