Abbas Ardehali, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Los Angeles, CA. Individual provider (NPI-1).
NPI number1649205576
StatusActive
Last updated in NPPESNov 18, 2019
Details
- NPI
- 1649205576
- Entity type
- Individual (NPI-1)
- Name
- Abbas Ardehali
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2006
- Last updated
- Nov 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | G62746 | CA | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | G62746 | CA |
Practice location
10833 Le Conte Ave Rm 62-186Los Angeles, CA 90095-3075
Phone 310-825-5841 · Fax 310-206-3506
Mailing address
5767 W Century BlvdSuite 400
Los Angeles, CA 90045-5631
Other practice locations
100 Ucla Medical Plz Ste 630
Los Angeles, CA 90024-6997
Los Angeles, CA 90024-6997
Phone 310-825-9011 · Fax 310-825-9012
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