Individual
GABRIELLE AHLZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
(213) 977-2121
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(213) 977-2121
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125066385
IL
207P00000X
Emergency Medicine Physician
Primary
A169081
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
11209646-1205
UT
Other
Enumeration date
01/15/2015
Last updated
12/22/2023
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