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MONEIM A FADALI MD NPI 1588847024


NPI Information

NPI: 1588847024
Provider Name: MONEIM A FADALI MD
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
2105 BEVERLY BL
#225
LOS ANGELES, CA
ZIP 90057
Phone: (213) 413-5472
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MONEIM A FADALI MD is a thoracic surgery cardiothoracic vascular surgery in Los Angeles, CA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. MONEIM A FADALI MD NPI is 1588847024. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2105 BEVERLY BL
#225
LOS ANGELES, CA
ZIP 90057
Phone: (213) 413-5472
Fax: (323) 664-6782

The provider's authorized official is Moneim A Fadali .
The authorized official title is Md and has the following contact phone number (213) 413-5472.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 2/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)A29521CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C35357MEDICARE UPINCALIFORNIA
2W4475MEDICARE PINCALIFORNIA
300A295210MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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