| Doctor Name: | DR. ALI REZA SADRIEH |
| NPI Number: | 1013979822 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | E4318 |
| Business Practice Address: | 12265 Ventura Blvd Suite 107 Studio City, CA - 916042528 |
| Business Phone Number: | 3106915411 |
| Business Fax Number: | 3103881658 |
| Mailing Address: | Po Box 1360, STUDIO CITY |
| State: | CA |
| Postal Code: | 916140360 |
| Phone Number: | 3106915411 |
| Fax Number: | 3103881658 |
| NPI Enumeration Date: | 04/05/2006 |
| NPI Last Update Date: | 10/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E4318 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |