FARHAD ARDESH MD INC (NPI# 1548751183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548751183 |
| Entity Type | Organization |
| Organization Name | FARHAD ARDESH MD INC |
| Other Organization Name | ARDESH FACIAL PLASTIC SURGERY |
| Practice Address |
11620 Wilshire Blvd Ste 280 Los Angeles CA 90025-1263 |
| Mailing Address |
6 Bormes Irvine CA 92614-0234 |
| Practice Telephone | 4242428608 |
| Practice Fax Number | 4242420410 |
| Mailing Telephone | 9192448938 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2020-04-04 |
| Authorized Official Name | DR. FARHAD ARDESHIRPOUR (OWNER) |
| Authorized Official Telephone | 9192448938 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
A132714 | CA | Allopathic & Osteopathic Physicians |
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
A132714 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AESTHETIC AND RECONSTRUCTIVE INSTITUTE OF CALIFORNIA | Other Name - Individual/Organization |
| ARDESH FACIAL PLASTIC SURGERY | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2100 Lynn Rd Ste 120, Thousand Oaks, CA 913608033 | 4242428608 | |
| 22 Odyssey Ste 155, Irvine, CA 926183194 | 4242428608 | 4242420410 |
| 435 N Roxbury Dr Ste 106, Beverly Hills, CA 902105003 | 4242428608 | |
| 240 S La Cienega Blvd Ste 200, Beverly Hills, CA 902113340 | 4242428608 | 4242420410 |
| 435 N Roxbury Dr Ste 204, Beverly Hills, CA 902105004 | 4242428608 | 4242420410 |
| 15775 Laguna Canyon Rd Ste 270, Irvine, CA 926183191 | 4242428608 | |
| 11620 Wilshire Blvd Ste 280, Los Angeles, CA 900251263 | 4242428608 | 4242420410 |
| Street Address |
11620 WILSHIRE BLVD STE 280 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-1263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860079 | Scanning Trend, Inc | Plastic Surgery | 3111 Los Feliz Blvd Ste 103, Los Angeles, CA 90039-1599 | 2020-04-22 |
| 1407924137 | Robert F. Nemeroff, M.d., Inc. | Plastic Surgery | 1509 Manning Ave, Los Angeles, CA 90024-5813 | 2006-12-01 |
| 1164021598 | J S Vincent Medical Group LLC | Plastic Surgery | 3111 Los Feliz Blvd Ste 103, Los Angeles, CA 90039-1599 | 2020-10-17 |
| 1306981519 | Jason Brett Diamond | Plastic Surgery | 9201 Sunset Blvd, Ground Floor, Los Angeles, CA 90069 | 2007-02-21 |
| 1780610113 | Jason Scott Hamilton | Plastic Surgery | 8631 W 3rd St, Suite 945e, Los Angeles, CA 90048-5901 | 2006-06-25 |
| 1255396602 | Regents of The University of California | Plastic Surgery | 200 Medical Plz, Suite 465, Los Angeles, CA 90095-6960 | 2006-04-19 |
| 1164487518 | The Regents of The University of California | Plastic Surgery | 200 Medical Plz, Suite 465, Los Angeles, CA 90095-0001 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811542319 | Napa Solano Plastic Surgery. Inc. | Plastic Surgery | 1175 Trancas Street, Napa, CA 94558 | 2019-08-02 |
| 1548799927 | Affinity Surgery Center, Inc | Plastic Surgery | 16311 Ventura Blvd Ste #555, Encino, CA 91436-4314 | 2017-06-08 |
| 1144774613 | Joseph Lochinvar Dinglasan Sr Md Sr. | Plastic Surgery | 709 Bowcreek Dr, Diamond Bar, CA 91765-1885 | 2016-08-12 |
| 1538523105 | Zormeier Cosmetic Surgery & Longevity Center | Plastic Surgery | 431 East Street Ste B, Healdsburg, CA 95448 | 2016-04-11 |
| 1134588775 | Beverly Hills of Westlake Plastic Surgery, Inc. | Plastic Surgery | 115 Jensen Ct # 200, Thousand Oaks, CA 91360-7406 | 2016-02-10 |
| 1144547183 | Melanie Malone | Plastic Surgery | 4150 Regents Park Row Ste 280, La Jolla, CA 92037-1417 | 2010-04-30 |
| 1568495562 | Richard A. Gangnes M.d. Inc. | Plastic Surgery | 665 Camino De Los Mares Ste 100, San Clemente, CA 92673-2840 | 2006-07-10 |
| 1124074059 | Blue Pacific Aesthetic Medical Group | Plastic Surgery | 415 Pier Ave, Hermosa Beach, CA 90254-3820 | 2006-05-25 |
| 1366400830 | Vincent C Hung | Plastic Surgery | 452 North Altadena Dr., Pasadena, CA 91107 | 2006-05-03 |
| 1457333577 | Perlman Center for Eye and Eyelijd Surgery Medical Corp | Plastic Surgery | 610 Cottonwood St, Woodland, CA 95695-3615 | 2005-11-15 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.