Individual
BAHMAN BANDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20911 EARL ST, SUITE 440, TORRANCE, CA 90503-4352
(310) 419-8585
(310) 419-8553
Mailing address
12618 HAWTHORNE BLVD., HAWTHORNE, CA 90250-2325
(310) 263-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A47790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A477900
—
CA
Enumeration date
08/10/2005
Last updated
06/01/2021
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