Individual
DR. BABAK KASRAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1188 N EUCLID ST, ANAHEIM, CA 92801-1900
(888) 505-0043
(626) 405-6768
Mailing address
393 E WALNUT ST, PASADENA, CA 91188-0001
(626) 405-7914
(626) 405-6768
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A71710
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A717100
—
CA
Enumeration date
03/28/2006
Last updated
12/03/2021
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