Healthcare Provider Details

I. General information

NPI: 1649640798
Provider Name (Legal Business Name): ALIPASHA ADRANGI MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2015
Last Update Date: 10/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W CALIFORNIA BLVD HUNTINGTON HOSPITAL
PASADENA CA
91105-3010
US

IV. Provider business mailing address

466 FOOTHILL BLVD 182
LA CANADA CA
91011-3518
US

V. Phone/Fax

Practice location:
  • Phone: 626-352-1444
  • Fax:
Mailing address:
  • Phone: 626-352-1444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: ALIPASHA ADRANGI
Title or Position: PRESIDENT
Credential: MD
Phone: 626-352-1444