Ardehali, Abbas
Ardehali, Abbas is an individual health care provider with primary practice located at 10833 Le Conte Ave Rm 62-186 , Los Angeles CA 90095-3075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Ardehali, Abbas can be contacted via phone (310) 825-5841.Contact Information
Primary practice address
10833 Le Conte Ave Rm 62-186
Los Angeles CA 90095-3075
Phone: (310) 825-5841
Fax: (310) 206-3506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G62746 | California |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | G62746 | California |
Profile Details
| NPI number | 1649205576 |
|---|---|
| LBN Legal business name | Ardehali, Abbas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Nov 18th, 2019 - about 5 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 | 1649205576 | NPPES |
| California | MEDICAID | 00G627460 |
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