Individual
ASHKAN ELIAHOU SEFARADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9808 VENICE BLVD STE 304, CULVER CITY, CA 90232-2732
(310) 845-6245
Mailing address
17234 VALLEY BLVD, FONTANA, CA 92335
(909) 427-2608
(909) 427-5312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A139020
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2014
Last updated
12/10/2021
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