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Individual

KAVEH BAGHERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8860 CENTER DRIVE, SUITE 240, LA MESA, CA 91942-7000
(619) 589-2535
(619) 589-8042
Mailing address
PO BOX 2250, LA MESA, CA 91943-2250

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A52496
CA
207RP1001X
Pulmonary Disease Physician
Primary
A52496
CA

Other

Enumeration date
07/19/2006
Last updated
10/11/2013
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