# BABAK DADVAND, M.D., INC.

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

## Provider details

- **NPI number:** 1326283151
- **Authorized official:** BABAK DADVAND M.D. (PRESIDENT)
- **Authorized official phone:** (800) 539-9945

## Contact information

- **Practice address:** 9201 W SUNSET BLVD, STE M-130, LOS ANGELES, CA 90069-3701
- **Practice address phone:** (310) 278-4200
- **Practice address fax:** (310) 276-6801
- **Mailing address:** PO BOX 2904, BEVERLY HILLS, CA 90213-2904
- **Mailing address phone:** (800) 539-9945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A95211 | CA | Yes |

## Other

- **Enumeration date:** 12/08/2008
- **Last updated:** 09/30/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A95211 | STATE MEDICAL LICENSE | CA |