Organization
KIARASH BAKHAJ INC
Active
Other names
Western Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
KIARASH BAKHAJ DPM (OWNER, AUTHORIZED OFFICIAL)
(714) 204-8766
Entity
Organization
Contact information
Practice address
408 S BEACH BLVD STE 102, ANAHEIM, CA 92804-1868
(714) 204-8766
Mailing address
408 S BEACH BLVD STE 102, ANAHEIM, CA 92804-1868
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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