Individual
DR. JALAL M. BADDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1060 E FOOTHILL BLVD, 201, UPLAND, CA 91786-4027
(909) 982-8044
(909) 982-0144
Mailing address
1060 E FOOTHILL BLVD, 201, UPLAND, CA 91786-4027
(909) 982-8044
(909) 982-0144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C42224
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C422240
MEDI-CAL
CA
Enumeration date
06/15/2006
Last updated
01/31/2014
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