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Organization
CALIFORNIA CENTER FOR CARDIOTHORACIC SURGERY, A MEDICAL GROUP
Active
Organization
CALIFORNIA CENTER FOR CARDIOTHORACIC SURGERY, A MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHOLAM R MOHAMMADZADEH MD (PARTNER PHYSICIAN)
(805) 379-9456
Entity
Organization
Contact information
Practice address
16255 VENTURA BLVD, SUITE 910, ENCINO, CA 91436-2302
(818) 990-4600
(818) 990-7841
Mailing address
2190 LYNN RD, SUITE 220, THOUSAND OAKS, CA 91360-1980
(805) 495-8050
(805) 496-2160
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
06/30/2008
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