Individual
DR. ASHKAN EHDAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD RM 5536B, WEST HOLLYWOOD, CA 90048-1804
(310) 248-6679
(310) 423-6795
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
(310) 248-6679
(310) 423-6795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A111796
CA
207RC0000X
Cardiovascular Disease Physician
A111796
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A111796
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881846434
—
CA
Enumeration date
10/15/2008
Last updated
07/22/2019
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