Individual
DR. ALIDAD GHIASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11645 WILSHIRE BLVD STE 702, LOS ANGELES, CA 90025-6807
(310) 824-1261
(310) 824-5190
Mailing address
11645 WILSHIRE BLVD STE 702, LOS ANGELES, CA 90025-6807
(310) 824-1261
(310) 824-5190
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
A60348
CA
Other
Enumeration date
08/12/2006
Last updated
11/11/2021
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