Organization
ARDALAN BABAKNIA M D PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARDALAN BABAKNIA MD (OWNER)
(949) 753-8844
Entity
Organization
Contact information
Practice address
15775 LAGUNA CANYON RD, SUITE 240, IRVINE, CA 92618-3189
(949) 753-8844
(949) 753-0181
Mailing address
15775 LAGUNA CANYON RD, SUITE 240, IRVINE, CA 92618-3189
(949) 753-8844
(949) 753-0181
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00036607
CITY BUSINESS LICENSE
CA
01
—
A44193
STATE LICENSE
CA
Enumeration date
09/14/2009
Last updated
11/23/2022
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