Individual provider · NPI-1

Pedram Shawn Abdian, M,D,

Family Medicine · Los Angeles, CA

NPI number1891021531
StatusActive
Last updated in NPPESSep 17, 2013

Details

NPI
1891021531
Entity type
Individual (NPI-1)
Name
Pedram Shawn Abdian
Credential
M,D,
Sex
Male
Sole proprietor
No
Enumeration date
Oct 31, 2009
Last updated
Sep 17, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA 109793CAYes

Practice location

1107 S Alvarado St
Suite 102
Los Angeles, CA 90006-4184

Phone 213-380-9999

Mailing address

Po Box 20410
Los Angeles, CA 90006-0410

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