Ashkan E Sefaradi Inc | |
9808 Venice Blvd Ste 707 Culver City CA 90232-6802 | |
(310) 845-6245 | |
Not Available |
Full Name | Ashkan E Sefaradi Inc |
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Speciality | Internal Medicine |
Location | 9808 Venice Blvd Ste 707, Culver City, California |
Authorized Official Name and Position | Ashkan Sefaradi (OWNER) |
Authorized Official Contact | 3108456245 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ashkan E Sefaradi Inc 1426 Cardiff Ave Los Angeles CA 90035-3205 Ph: (310) 845-6245 | Ashkan E Sefaradi Inc 9808 Venice Blvd Ste 707 Culver City CA 90232-6802 Ph: (310) 845-6245 |
NPI Number | 1538759238 |
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Provider Enumeration Date | 01/26/2021 |
Last Update Date | 07/15/2021 |
Medicare PECOS PAC ID | 5496162182 |
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Medicare Enrollment ID | O20210324003093 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538759238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ashkan E Sefaradi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861802548 PECOS PAC ID: 8224383443 Enrollment ID: I20180612001445 |
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