Individual
BAHAREH HAYKANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18700 COLLINS ST, TARZANA, CA 91356-1493
(310) 882-1203
Mailing address
6300 CANOGA AVE STE 102, WOODLAND HILLS, CA 91367-2555
(310) 882-1203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
58571
CA
363A00000X
Physician Assistant
7154
AZ
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/06/2018
Last updated
09/18/2023
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