Individual
IRADJ GHADISHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9808 VENICE BLVD, SUITE 710, CULVER CITY, CA 90232-2732
(310) 470-8220
Mailing address
10660 WILSHIRE BLVD, SUITE 1108, LOS ANGELES, CA 90024-4522
(310) 470-8220
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A50282
CA
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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