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Individual

BABAK ALAVYNEJAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
741 S ORANGE AVE, WEST COVINA, CA 91790-2662
(626) 338-1800
Mailing address
269 S BEVERLY DR # 668, BEVERLY HILLS, CA 90212-3851
(626) 338-1800
(626) 338-3720

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3996
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E39961
CA
Enumeration date
12/02/2006
Last updated
06/04/2008
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