Sudabeh Moein, MD,Inc

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

A67561 Issued in CA

Legal business name

SUDABEH MOEIN, MD,INC

Practice address

15611 Pomerado Rd
#505
Poway, CA 92064-2437

Phone

(858) 487-2877

Fax

(858) 487-0729

NPI assigned

Sep 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sudabeh Moein, M.D.

Title

Owner

Phone

(858) 487-2877

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1346434024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15611 POMERADO RD",
            "address_2": "#505",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642437",
            "telephone_number": "858-487-2877",
            "fax_number": "858-487-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15611 POMERADO RD",
            "address_2": "#505",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642437",
            "telephone_number": "858-487-2877",
            "fax_number": "858-487-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDABEH MOEIN, MD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "MOEIN",
        "authorized_official_first_name": "SUDABEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-487-2877",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A67561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A675610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calvin T Stone, DO
• Braeden Storkersen
• Bonnie Lynn Stromer, MA, ATR
• Daniel Strub, MD
• Jade Stuckey
• Erin Sullivan
• Ashlyn Suloff
• Sumer Inc.
• Debra Jean Summers, O.T.R. /L., C.H.T.
• Lakshmi S Sundblad, M.D.

• Gynecology Physician in Poway, CA
• Providers in Poway, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.