Ardalan, Maryam
Ardalan, Maryam is an sole proprietor health care provider with primary practice located at 25425 Orchard Village Rd Ste 270 , Santa Clarita CA 91355-2958. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Ardalan, Maryam can be contacted via phone (661) 260-1282.Contact Information
Primary practice address
25425 Orchard Village Rd Ste 270
Santa Clarita CA 91355-2958
Phone: (661) 260-1282
Fax: (661) 414-8047
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | A102198 | California |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A102198 | California |
Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | A102198 | California |
Profile Details
NPI number | 1396936217 |
---|---|
LBN Legal business name | Ardalan, Maryam |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 6th, 2007 |
Last updated | Feb 22nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396936217 | NPPES |
California | MEDICAID | 00A1021980 | |
California | Other | 0A1021980 |
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