Individual
ILAN KEDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 N LA CIENEGA BLVD STE 303, BEVERLY HILLS, CA 90211-2283
(310) 307-5555
(424) 249-3103
Mailing address
99 N LA CIENEGA BLVD STE 303, BEVERLY HILLS, CA 90211-2283
(310) 307-5555
(424) 249-3103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A93684
CA
207RC0000X
Cardiovascular Disease Physician
MD034206
DC
207RI0011X
Interventional Cardiology Physician
Primary
A93684
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035716400
—
DC
01
—
1689629057
CARDIOLOGY
CA
05
—
404855500
—
MD
Enumeration date
05/24/2006
Last updated
02/27/2025
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