Organization
ABOLHODA MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HENDERSON (BUSINESS MANAGER)
(562) 598-9745
Entity
Organization
Contact information
Practice address
3801 KATELLA AVE, SUITE 207, LOS ALAMITOS, CA 90720-3338
(562) 598-9745
(562) 344-3737
Mailing address
3801 KATELLA AVE, SUITE 207, LOS ALAMITOS, CA 90720-3338
(562) 598-9745
(562) 344-3737
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G85458
STATE ID
CA
Enumeration date
07/01/2013
Last updated
07/01/2013
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