Individual
MEHRDAD AGHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1141 W REDONDO BEACH BLVD, SUITE 101, GARDENA, CA 90247-3586
(310) 767-7814
(310) 323-3785
Mailing address
1141 W REDONDO BEACH BLVD, SUITE 101, GARDENA, CA 90247-3586
(310) 767-7814
(310) 323-3785
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G83156
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G831560
—
CA
05
—
00G831561
—
CA
01
—
1249690001
CIGNA MEDICARE GARDENA
CA
01
—
1249690002
CIGNA MEDICARE HAWTHORNE
CA
05
—
G831560
—
CA
05
—
G831561
—
CA
Enumeration date
08/31/2006
Last updated
12/31/2025
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