Individual provider · Type 1 NPI

Iradj Ghadishah, MD

General Practice Physician · Culver City, CA

NPI number 1376564401 Active

Practice location

9808 Venice Blvd, Suite 710
Culver City, CA 90232-2732

Call (310) 470-8220 Map

Mailing address

10660 Wilshire Blvd, Suite 1108
Los Angeles, CA 90024-4522

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XA50282 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1376564401

Iradj Ghadishah, MD's National Provider Identifier is 1376564401, issued on Jul 22, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Culver City, CA. The record was last updated on Jul 8, 2007.