# NEGIN BEHAZIN MD, A MED CORP

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

## Provider details

- **NPI number:** 1538529185
- **Authorized official:** NEGIN BEHAZIN MD (PRESIDENT)
- **Authorized official phone:** (409) 234-2964

## Contact information

- **Practice address:** 12665 GARDEN GROVE BLVD, SUITE 710, GARDEN GROVE, CA 92843-1901
- **Practice address phone:** (617) 281-9900
- **Mailing address:** 360 FREEMAN AVE, APT 14, LONG BEACH, CA 90814-2406
- **Mailing address phone:** (409) 234-2946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A131359 | CA | Yes |

## Other

- **Enumeration date:** 02/24/2016
- **Last updated:** 04/09/2016