Basic Information
| Provider Information | |||||||||
| NPI: | 1891357547 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEDA SADEGHI MD A MEDICAL CORPORATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 7001 | ||||||||
| Address2: | |||||||||
| City: | TARZANA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913577001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8188887815 | ||||||||
| FaxNumber: | 8187151722 | ||||||||
| Practice Location | |||||||||
| Address1: | 2080 CENTURY PARK E STE 1111 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900672029 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8778067846 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2019 | ||||||||
| LastUpdateDate: | 07/31/2019 | ||||||||
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| AuthorizedOfficialLastName: | SADEGHI | ||||||||
| AuthorizedOfficialFirstName: | NEDA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT / SOLE OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4053266923 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.