MEDICARE: ADVANCED CARDIOTHORACIC SURGERY MEDICAL GROUP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	G72926	CA

General Provider Information

NPI Number	:	1104818715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED CARDIOTHORACIC SURGERY MEDICAL GROUP, INC.

Provider Business Mailing Address
First Line	:	1245 WILSHIRE BLVD
Second Line	:	SUITE 606
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-4810
Country	:	US
Telephone Number	:	213-483-1055
Fax Number	:	213-483-1418

Provider Business Practice Location Address
First Line	:	1245 WILSHIRE BLVD
Second Line	:	SUITE 606
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-4810
Country	:	US
Telephone Number	:	213-483-1055
Fax Number	:	213-483-1418

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALI GHEISSARI
Credential	:	M.D.
Telephone Number	:	213-483-1055

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	09/29/2011

Similar Medicare Providers

1902805914 — DR. THOMAS HENRY KANEGAE M.D.
Practice Location Address:

1245 WILSHIRE BLVD , STE 804
LOS ANGELES, CA
90017-4810

Practice Phone: 213-977-1030
Practice Fax: 213-977-0379

1376545269 — ALI GHEISSARI M.D.
Practice Location Address:

1245 WILSHIRE BLVD , SUITE 606
LOS ANGELES, CA
90017-4810

Practice Phone: 213-483-1055
Practice Fax: 213-483-1418

1104828706 — ROGER L NOVACK MD
Practice Location Address:

1245 WILSHIRE BLVD , 380
LOS ANGELES, CA
90017-4810

Practice Phone: 213-483-8810
Practice Fax: 213-481-1503

1104810050 — DR. THOMAS LEE SHOOK M.D.
Practice Location Address:

1245 WILSHIRE BLVD , STE 703
LOS ANGELES, CA
90017-4810

Practice Phone: 213-977-7422
Practice Fax: 213-250-8945

1669466439 — DR. ANIL KUMAR BHANDARI M.D.
Practice Location Address:

1245 WILSHIRE BLVD , STE 703
LOS ANGELES, CA
90017-4810

Practice Phone: 213-977-7422
Practice Fax: 213-250-8945

1578553905 — EBEN I FEINSTEIN M.D.
Practice Location Address:

1245 WILSHIRE BLVD , SUITE 514
LOS ANGELES, CA
90017-4810

Practice Phone: 213-482-5141
Practice Fax: 213-482-8128

Directions to “ADVANCED CARDIOTHORACIC SURGERY MEDICAL GROUP, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.