Individual
MARMAR VASEGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 UCLA MEDICAL PLZ STE 690, LOS ANGELES, CA 90024-7000
(310) 206-2235
(310) 825-2092
Mailing address
5767 W CENTURY BLVD SUITE 400, LOS ANGELES, CA 90095-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A87382
CA
207RC0000X
Cardiovascular Disease Physician
A87382
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A87382
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447493432
CCS PANELED PROVIDER
CA
05
—
1447493432
—
CA
Enumeration date
04/07/2009
Last updated
02/12/2025
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