Individual
ABBAS ARDEHALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE RM 62-186, LOS ANGELES, CA 90095-3075
(310) 825-5841
(310) 206-3506
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G62746
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G62746
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G627460
—
CA
Enumeration date
07/11/2006
Last updated
11/18/2019
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