Vahdat, Omid

Vahdat, Omid is an sole proprietor health care provider with primary practice located at 3801 Katella Ave Suite 310, Los Alamitos CA 90720-3338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Vahdat, Omid can be contacted via phone (562) 598-0604.

Contact Information

Primary practice address
3801 Katella Ave Suite 310 Los Alamitos CA 90720-3338
Fax: (562) 598-1649
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A64306 California

Profile Details

NPI number 1033164330
LBN Legal business name Vahdat, Omid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated May 3rd, 2012 - about 12 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 1033164330 NPPES
California MEDICAID 00A643060

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