Provider Demographics
NPI:1326295452
Name:HADADIAN, SEDI (MD)
Entity Type:Individual
Prefix:
First Name:SEDI
Middle Name:
Last Name:HADADIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SEDIGHEH
Other - Middle Name:
Other - Last Name:HADDADIANPOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:22330 VICTORY BLVD
Mailing Address - Street 2:APT # 203
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-1842
Mailing Address - Country:US
Mailing Address - Phone:818-359-9142
Mailing Address - Fax:
Practice Address - Street 1:191 S BUENA VISTA ST
Practice Address - Street 2:SUITE # 475
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4554
Practice Address - Country:US
Practice Address - Phone:818-843-6101
Practice Address - Fax:818-843-8616
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102620207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology