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Contact Information

KAMAL EBADPOUR
13224 IROQUOIS ROAD
APPLE VALLEY, CA92308
 Phone: 213-999-0995
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Companion

372600000X
Indicates primary specialty

NPI Profile & details for KAMAL EBADPOUR · (Male)

NPI Number 1043608763
Status Active
Credentials
Entity Individual
Enumeration date 01/05/2015
Last updated 01/05/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 366426126
  • CA Medicaid 46-2760607
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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