# MONEIM A FADALI MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588847024
- **Authorized official:** DR. MONEIM A FADALI MD (MD)
- **Authorized official phone:** (213) 413-5472

## Contact information

- **Practice address:** 2105 BEVERLY BL, \#225, LOS ANGELES, CA 90057
- **Practice address phone:** (213) 413-5472
- **Practice address fax:** (323) 664-6782
- **Mailing address:** 2586 ABERDEEN AVE, LOS ANGELES, CA 90027
- **Mailing address phone:** (213) 413-5472
- **Mailing address fax:** (323) 664-6782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | A29521 | CA | Yes |

## Other

- **Enumeration date:** 12/06/2007
- **Last updated:** 02/12/2008