Healthcare Provider Details

I. General information

NPI: 1659222032
Provider Name (Legal Business Name): ALPHA MEDICAL PERFORMANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 02/08/2026
Certification Date: 02/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 W PACIFIC COAST HWY STE D
WILMINGTON CA
90744-2552
US

IV. Provider business mailing address

910 W PACIFIC COAST HWY STE D
WILMINGTON CA
90744-2552
US

V. Phone/Fax

Practice location:
  • Phone: 310-746-8219
  • Fax:
Mailing address:
  • Phone: 310-746-8210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOUBEEN FOLADPOUR
Title or Position: CEO
Credential: MD
Phone: 310-746-8210