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Individual

DR. JAMSHID AHMADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1520 SAN PABLO ST, LOWER LEVEL, SUITE 1600, LOS ANGELES, CA 90033-5310
(323) 442-7450
(323) 442-7455
Mailing address
PO BOX 31399, LOS ANGELES, CA 90031-0399
(626) 457-5842
(626) 457-5843

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
A32151
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A321510
BLUE SHIELD
CA
05
00A321510
CA
01
00A321510G56
CAL-OPTIMA
CA
01
300031892
RAIL ROAD MEDICARE
CA
Enumeration date
05/17/2006
Last updated
12/05/2013
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