Healthcare Provider Details

I. General information

NPI: 1518240373
Provider Name (Legal Business Name): ALI SADRIEH, DPM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2011
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 N ROXBURY DR
BEVERLY HILLS CA
90210-5002
US

IV. Provider business mailing address

9531 SANTA MONICA BLVD
BEVERLY HILLS CA
90210-4503
US

V. Phone/Fax

Practice location:
  • Phone: 310-691-5411
  • Fax:
Mailing address:
  • Phone: 310-691-5411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ALI SADRIEH
Title or Position: OWNER
Credential: DPM
Phone: 310-691-5411