Individual
ALI MAHDAVI FARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 N ORANGE GROVE BLVD, PASADENA, CA 91103-3534
(626) 817-4747
(626) 817-4748
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-5138
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A177153
CA
Other
Enumeration date
04/17/2018
Last updated
08/11/2025
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