Individual
DR. MIAD HADAEGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(424) 259-6593
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A20890
CA
Other
Enumeration date
03/26/2020
Last updated
08/06/2024
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