Organization
ADOBE MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMRAN GHODSIAN MD (PRESIDENT)
(714) 662-1515
Entity
Organization
Contact information
Practice address
220 W 1ST ST STE 102, SANTA ANA, CA 92701-5262
(714) 550-7001
(714) 550-7006
Mailing address
2321 E FIRST ST, STE 457, SANTA ANA, CA 92705
(714) 550-7001
(714) 550-7006
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0050350
—
CA
01
—
ZZZ29047Z
BLUE SHIELD PROVIDER #
CA
Enumeration date
08/31/2006
Last updated
03/17/2018
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