Organization
LOS ANGELES KIDNEY CENTER, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARDAVAN YAGHOUB MASHHADIAN M.D. (MEDICAL DIRECTOR)
(310) 927-5807
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD, SUITE 510, LOS ANGELES, CA 90017-3901
(310) 927-5807
Mailing address
1127 WILSHIRE BLVD, SUITE 510, LOS ANGELES, CA 90017-3901
(310) 927-5807
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
20A11899
CA
Other
Enumeration date
11/10/2015
Last updated
10/06/2023
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