Provider Demographics
NPI:1679674089
Name:ABADI, SEDIE N/A (DC)
Entity Type:Individual
Prefix:DR
First Name:SEDIE
Middle Name:N/A
Last Name:ABADI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SEDIGHEH
Other - Middle Name:N/A
Other - Last Name:KHOSROWABADI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1111 W 6TH ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-1800
Mailing Address - Country:US
Mailing Address - Phone:626-262-1819
Mailing Address - Fax:
Practice Address - Street 1:1111 W. 6TH STREET
Practice Address - Street 2:SUITE 111
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017
Practice Address - Country:US
Practice Address - Phone:213-607-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26004111N00000X
CA10478235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No111N00000XChiropractic ProvidersChiropractor