Doctor Name: | DR. MARYAM ARDALAN |
NPI Number: | 1396936217 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | A102198 |
Business Practice Address: | 23861 Mcbean Pkwy Suite B-2 Valencia, CA - 913552058 |
Business Phone Number: | 6612601282 |
Business Fax Number: | 6612544212 |
Mailing Address: | 23861 Mcbean Pkwy Ste B2, VALENCIA |
State: | CA |
Postal Code: | 913552003 |
Phone Number: | 6612601282 |
Fax Number: | 6612544212 |
NPI Enumeration Date: | 08/06/2007 |
NPI Last Update Date: | 02/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | A102198 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |