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Individual

FAHIMEH ZIADLOURAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-9111
Mailing address
FILE 4501, LOS ANGELES, CA 90074-0001
(503) 372-2740
(503) 372-2754

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A40670
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A406700
BLUE SHIELD OF CA
CA
05
00A406700
CA
01
00A406700303
CALOPTIMA
CA
Enumeration date
07/02/2006
Last updated
07/08/2007
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