OrganizationActive
Advanced Cardiothoracic Surgery Medical Group, Inc.
NPI 1104818715 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Los Angeles, CA
Provider details
- NPI number
- 1104818715
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ali Gheissari, President(213) 483-1055
- License
- G72926 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1245 Wilshire Blvd
Suite 606
Los Angeles, CA 90017-4810
Phone: (213) 483-1055
Fax: (213) 483-1418
Approximate (ZIP-level) locationGet directions
Mailing address
1245 Wilshire Blvd
Los Angeles, CA 90017-4810
Registry dates
- Enumerated
- 2005-08-19
- Last updated
- 2011-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.