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NPI Code Detail

MEDICARE: AIDMED INC

MEDICARE: AIDMED 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
1207P00000XEmergency Medicine PhysicianA84332CA

General Provider Information

NPI Number : 1932337573
Entity Type Code : Organization
Provider Name (Legal Business Name) : AIDMED INC
Provider Business Mailing Address
First Line : 22425 VENTURA BLVD # 153
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-1524
Country : US
Telephone Number : 818-433-2501
Fax Number : 818-936-0187
Provider Business Practice Location Address
First Line : 6200 CANOGA AVE
Second Line : SUITE 405
City : WOODLAND HILLS
State : CA
Zip : 91367-2450
Country : US
Telephone Number : 818-433-2501
Fax Number : 818-936-0187
Authorized Official
Title or Position : PRESIDENT
Name : SASSAN NADERI
Credential : M.D.
Telephone Number : 818-433-2501
Provider Enumeration Date : 06/22/2009
Last Update Date : 06/23/2009

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Directions to “AIDMED INC ” Practice Location

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