Provider Demographics
NPI:1497512792
Name:HADIPOUR, REIHANEH (DR)
Entity Type:Individual
Prefix:
First Name:REIHANEH
Middle Name:
Last Name:HADIPOUR
Suffix:
Gender:F
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 SIMPLICITY
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-2853
Mailing Address - Country:US
Mailing Address - Phone:949-254-9844
Mailing Address - Fax:
Practice Address - Street 1:706 SIMPLICITY
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-2853
Practice Address - Country:US
Practice Address - Phone:949-254-9844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14823374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula