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Contact Information

ABBAS ARDEHALI, MD
10833 LE CONTE AVE RM 62-186
LOS ANGELES, CA90095-3075
 Phone: 310-825-5841
 Fax: 310-206-3506
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ABBAS ARDEHALI · (Male)

NPI # 1649205576
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 11/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G62746
  • CA Medicaid 00G627460
Hospital affiliation(s)
  • RONALD REAGAN UCLA MEDICAL CENTER - (Acute Care)
    757 WESTWOOD PLAZA
    LOS ANGELES, CA 90095
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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