Simona Davoudpour DO a Professional Medical Corporation

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

SIMONA DAVOUDPOUR DO A PROFESSIONAL MEDICAL CORPORATION

Doing business as

Platinum Physicians Group

Practice address

5757 Wilshire Blvd.
Promenade 2
Los Angeles, CA 90036

Phone

(424) 284-9027

NPI assigned

Dec 21, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Simona Davoudpour, DO

Title

President

Phone

(424) 284-9027

Specialties & licenses 1

Addresses

Other names 1

• Platinum Physicians Group Doing business as

Locations

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1346712866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 S ALFRED ST UNIT 351614",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900358066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD.",
            "address_2": "PROMENADE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90036",
            "telephone_number": "424-284-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONA DAVOUDPOUR DO A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "DAVOUDPOUR",
        "authorized_official_first_name": "SIMONA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-284-9027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen D Simon, LCSW
• Toya Ranon Simon
• Violette Simon
• Wendy Marie Simon, M.D.
• Simon'S Discount Pharmacy, Inc.
• Meredith Lynne Simonds
• Agnes Simone, D.O.
• Aram Simonian, PT,DPT
• Armine Emma Aghabekian Simonian, DO
• Sabina Simonian

• Adult Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.