Individual
DR. SOROUSH BAGHDADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 16TH ST STE 2100, SANTA MONICA, CA 90404-1249
(424) 259-6593
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A198984
CA
207XP3100X
Pediatric Orthopaedic Surgery Physician
MT224936
PA
Other
Enumeration date
04/02/2021
Last updated
11/01/2024
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