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Organization
ADVANCED CARDIOTHORACIC SURGERY MEDICAL GROUP, INC.
Active
Organization
ADVANCED CARDIOTHORACIC SURGERY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI GHEISSARI M.D. (PRESIDENT)
(213) 483-1055
Entity
Organization
Contact information
Practice address
1245 WILSHIRE BLVD, SUITE 606, LOS ANGELES, CA 90017-4810
(213) 483-1055
(213) 483-1418
Mailing address
1245 WILSHIRE BLVD, SUITE 606, LOS ANGELES, CA 90017-4810
(213) 483-1055
(213) 483-1418
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G72926
CA
Other
Enumeration date
08/19/2005
Last updated
09/29/2011
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