Organization
BAVAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAVAND YOUSSEFZADEH DO (DELEGATED OFFICIAL)
(858) 455-6800
Entity
Organization
Contact information
Practice address
18632 BEACH BLVD STE 100, HUNTINGTON BEACH, CA 92648-2047
(714) 962-3633
Mailing address
18632 BEACH BLVD STE 100, HUNTINGTON BEACH, CA 92648-2047
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
01/08/2018
Last updated
03/17/2018
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