Individual provider · NPI-1

Dr. Ashkan Abedini, MD

Family Medicine · La Mesa, CA

NPI number1013546373
StatusActive
Last updated in NPPESSep 23, 2024

Details

NPI
1013546373
Entity type
Individual (NPI-1)
Name
Dr. Ashkan Abedini
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 7, 2020
Certification date
Sep 23, 2024
Last updated
Sep 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicinea184847CAYes
207Q00000X Family MedicinePG199405OR

Practice location

5525 Grossmont Center Dr
La Mesa, CA 91942-3009

Phone 858-499-6899

Mailing address

9400 Sw Stonecreek Dr
Beaverton, OR 97007-8532

Phone 503-380-1938

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