Provider Demographics
NPI:1932337573
Name:AIDMED INC
Entity type:Organization
Organization Name:AIDMED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NADERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-433-2501
Mailing Address - Street 1:22425 VENTURA BLVD # 153
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1524
Mailing Address - Country:US
Mailing Address - Phone:818-433-2501
Mailing Address - Fax:818-936-0187
Practice Address - Street 1:6200 CANOGA AVE
Practice Address - Street 2:SUITE 405
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2450
Practice Address - Country:US
Practice Address - Phone:818-433-2501
Practice Address - Fax:818-936-0187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA84332207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty