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Reza Fardanesh

NPI 1972763993 · on the registry since 2008

Practice

Address
757 Westwood Plz
Los Angeles, CA 90095
Phone
(310) 301-6800
Fax
(310) 794-9035
Organisation at this address
W. Kim, P.C.
Ucla Health System
Ucla Health System
Ucla Medical Center
Ucla Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,925

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
2085R0202X
390200000X
Licence states on file
NY, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California