Individual
KAMRAN GHADIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1412 W 7TH ST, SAN PEDRO, CA 90732-3507
(310) 548-5481
(310) 548-5000
Mailing address
1412 W 7TH ST, SAN PEDRO, CA 90732-3507
(310) 548-5481
(310) 548-5000
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A50028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A500280
—
CA
Enumeration date
09/29/2006
Last updated
07/08/2007
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