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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396936217 NPPES
California MEDICAID 00A1021980
California Other 0A1021980

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