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Organization

MONEIM A FADALI MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MONEIM A FADALI MD (MD)
(213) 413-5472
Entity
Organization

Contact information

Practice address
2105 BEVERLY BL, #225, LOS ANGELES, CA 90057
(213) 413-5472
(323) 664-6782
Mailing address
2586 ABERDEEN AVE, LOS ANGELES, CA 90027
(213) 413-5472
(323) 664-6782

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A29521
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A295210
CA
Enumeration date
12/06/2007
Last updated
02/12/2008
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