Organization
LOS ANGELES KIDNEY CENTER, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARDAVAN MASHHADIAN D.O. (PHYSICIAN)
(310) 927-5807
Entity
Organization
Contact information
Practice address
1414 S GRAND AVE STE 100, LOS ANGELES, CA 90015-3071
(310) 927-5807
Mailing address
1717 MALCOLM AVE PH 1, LOS ANGELES, CA 90024-6842
(310) 927-5807
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
20A11899
CA
Other
Enumeration date
05/26/2015
Last updated
08/30/2024
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