Ghadimi, Kamran

Ghadimi, Kamran is an sole proprietor health care provider with primary practice located at 1412 W 7Th St , San Pedro CA 90732-3507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Ghadimi, Kamran can be contacted via phone (310) 548-5481.

Contact Information

Primary practice address
1412 W 7Th St San Pedro CA 90732-3507
Fax: (310) 548-5000
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A50028 California

Profile Details

NPI number 1174615629
LBN Legal business name Ghadimi, Kamran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174615629 NPPES
California MEDICAID 00A500280

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