Individual
DR. BRUCE BEHROOZ BAGHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1560 E CHEVY CHASE DR, 445, GLENDALE, CA 91206-4197
(818) 247-3938
(818) 247-7249
Mailing address
1560 E CHEVY CHASE DR, 445, GLENDALE, CA 91206-4197
(818) 247-3938
(818) 247-7249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G70830
CA
207RC0000X
Cardiovascular Disease Physician
Primary
G70830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G708300
—
CA
Enumeration date
08/30/2006
Last updated
08/06/2015
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