Individual provider · NPI-1

Gabrielle Ahlzadeh, MD

Emergency Medicine · Los Angeles, CA

NPI number1225427172
StatusActive
Last updated in NPPESDec 22, 2023

Details

NPI
1225427172
Entity type
Individual (NPI-1)
Name
Gabrielle Ahlzadeh
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jan 15, 2015
Certification date
Aug 5, 2021
Last updated
Dec 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineA169081CAYes
207P00000X Emergency Medicine125066385IL
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine11209646-1205UT

Practice location

1225 Wilshire Blvd
Los Angeles, CA 90017-1901

Phone 213-977-2121

Mailing address

Po Box 31309
Los Angeles, CA 90031-0309

Phone 213-977-2121

Other practice locations

251 E Huron St
Chicago, IL 60611-2908

Phone 312-926-6000

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