# BABAK AZIZZADEH, INC.

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

## Provider details

- **NPI number:** 1710133954
- **Authorized official:** DR. BABAK AZIZZADEH MD (CEO)
- **Authorized official phone:** (310) 657-2006

## Contact information

- **Practice address:** 8670 WILSHIRE BLVD, SUITE 200, BEVERLY HILLS, CA 90211-2924
- **Practice address phone:** (310) 657-2006
- **Mailing address:** 8670 WILSHIRE BLVD, SUITE 200, BEVERLY HILLS, CA 90211-2924
- **Mailing address phone:** (310) 657-2006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | A64794 | CA | Yes |

## Other

- **Enumeration date:** 08/07/2008
- **Last updated:** 08/07/2008