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Licensing details for: A 63230

Name: GHADERI, LIDA

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: University of California, San Diego School of Medicine

Graduation Year: 1995

Address of Record

100 Wilshire Blvd Ste 700
SANTA MONICA CA 90401-3602
LOS ANGELES county
Map

Issuance Date

August 8, 1997

Expiration Date

September 30, 2026

Current Date / Time

September 13, 2026
9:51:21 PM

Public Record Actions

Public Documents

Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status
Postgraduate Training
Postgraduate Training Years
Decline to State
Primary Area of Practice
Internal Medicine
Secondary Area of Practice
Complementary & Alternative Medicine
Medical Genetics
Public Health and General Preventive Medicine
Other - Not Listed
ABMS Certifications
Other - Decline to State
Are you retired?
Decline to state
Practice Activities
Direct Patient Care (including telehealth) - Decline to State

Training - Decline to State
Research - Decline to State
Administration - Decline to State
Other - Decline to State
Primary Practice Location
Decline to State
Secondary Practice Location
Decline to State
Are you Hispanic, Latino/a, or of Spanish origin?
Decline to State
Race
Decline to State
Language Fluency
Decline to State
Gender Identity
Decline to State

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