Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Cardiothoracic Surgery Medical Group, Inc

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1104818715

Advanced Cardiothoracic Surgery Medical Group, Inc is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1245 Wilshire Blvd Ste 606
Los Angeles, CA 90017-4810
Phone: (213) 483-1055
Fax: (213) 483-1418
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence G72926 (CA)

Record details

NPI number1104818715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ali Gheissari — President · (213) 483-1055
NPI enumeratedAugust 19, 2005
Last updated in NPPESSeptember 29, 2011
Mailing address1245 Wilshire Blvd, Suite 606, Los Angeles, CA 90017-4810

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