Organization
SHIDBAN DIALYSIS ACCESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMID SHIDBAN MD (OWNER)
(213) 797-6044
Entity
Organization
Contact information
Practice address
1414 S GRAND AVE STE 100, LOS ANGELES, CA 90015-3071
(213) 797-6044
(213) 481-7023
Mailing address
1100 WILSHIRE BLVD APT 3101, LOS ANGELES, CA 90017-1953
(213) 797-6044
(213) 481-7023
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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