Individual
DR. BAHAR FAZELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 442-7400
(323) 442-7411
Mailing address
1520 SAN PABLO ST, SUITE 3451, LOS ANGELES, CA 90033-5310
(323) 442-7400
(323) 442-7411
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A105819
CA
Other
Enumeration date
05/07/2007
Last updated
06/21/2012
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