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Organization
YAGHOUB BADYMOGHADDAM MD INC
Active
Organization
YAGHOUB BADYMOGHADDAM MD INC
Active
Other names
Commerce Medical Clinic, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAGHOUB BADYMOGHADDAM M.D. (PRESIDENT)
(323) 727-7000
Entity
Organization
Contact information
Practice address
5726 E OLYMPIC BLVD, LOS ANGELES, CA 90022-5120
(323) 727-7000
Mailing address
5726 E OLYMPIC BLVD, LOS ANGELES, CA 90022-5120
(323) 727-7000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11111
WAITING FOR MEDI-CAL NUMB
CA
Enumeration date
07/26/2007
Last updated
07/26/2007
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