Avidan, Alon Yosefian
Avidan, Alon Yosefian is an individual health care provider with primary practice located at 300 Medical Plaza #B200, Los Angeles CA 90095. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Avidan, Alon Yosefian can be contacted via phone (310) 794-1195.Contact Information
Primary practice address
300 Medical Plaza #B200
Los Angeles CA 90095
Phone: (310) 794-1195
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | A67111 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A67111 | California |
Profile Details
| NPI number | 1154437069 |
|---|---|
| LBN Legal business name | Avidan, Alon Yosefian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jan 14th, 2020 - about 4 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 | 1154437069 | NPPES |
| California | MEDICAID | 00A671110 |
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