Healthcare Provider Details

I. General information

NPI: 1285228056
Provider Name (Legal Business Name): LOS ANGELES CARDIOVASCULAR CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2021
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 BELLEFONTAINE ST STE 302
PASADENA CA
91105-3132
US

IV. Provider business mailing address

281 E COLORADO BLVD # 751
PASADENA CA
91101-1903
US

V. Phone/Fax

Practice location:
  • Phone: 626-427-7041
  • Fax: 323-336-9319
Mailing address:
  • Phone: 323-448-0334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SOHA AHMAD
Title or Position: CEO AND OWNER OF PRACTICE
Credential: MD
Phone: 323-448-0334