Healthcare Provider Details

I. General information

NPI: 1275564874
Provider Name (Legal Business Name): SIMONA C POP MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SIMONA C ATTALLAH MD

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 THUNDER DR
VISTA CA
92083-6010
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 760-941-9002
  • Fax: 760-630-2515
Mailing address:
  • Phone: 702-579-3203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA91844
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: