Individual
FARDAD ESMAILIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-9820
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-9820
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G64353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G643530
—
CA
Enumeration date
07/10/2006
Last updated
07/12/2010
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