Dr. Lida Ghaderi
Internist Clinical Genetics (M.D.) Geriatric Medicine
2222 Santa Monica Blvd Suite 200
Santa Monica
, California 90404-2304
Dr. Lida Ghaderi
Internist Clinical Genetics (M.D.) Geriatric Medicine
2222 Santa Monica Blvd Suite 200
Santa Monica
, California 90404-2304
(310) 998-8600
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About
Features
Specialties
- Internist
- Geriatric Medicine
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Dr. Lida Ghaderi
- 2222 Santa Monica Blvd Suite 200
- Santa Monica, CA
- Zip : 90404-2304
- Phone : (310) 998-8600
Second Address
- Dr. Lida Ghaderi
- 2222 Santa Monica Blvd Suite 200
- Santa Monica, CA
- Zip : 90404-2304
- Phone : (310) 998-8600
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Is Dr. Lida Ghaderi a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | A063230 | CA |
| Y | 111NI0900X | Internist | A063230 | CA |
| N | 207RG0300X | Geriatric Medicine | A063230 | CA |
| N | 207SG0201X | Clinical Genetics (M.D.) | A063230 | CA |
National Provider Identifier
| NPI | 1851613079 |
|---|---|
| Provider Name | Dr. Lida Ghaderi |
| First Address | Santa Monica, CA 90404-2304 |
| Second Address | Santa Monica, CA 90404-2304 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/02/2010 |
| Last Update Date | 16/02/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.