# BAVAND PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124535406
- **Authorized official:** BAVAND YOUSSEFZADEH DO (DELEGATED OFFICIAL)
- **Authorized official phone:** (858) 455-6800

## Contact information

- **Practice address:** 18632 BEACH BLVD STE 100, HUNTINGTON BEACH, CA 92648-2047
- **Practice address phone:** (714) 962-3633
- **Mailing address:** 18632 BEACH BLVD STE 100, HUNTINGTON BEACH, CA 92648-2047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2018
- **Last updated:** 03/17/2018