Individual
BAHRAM HESHMATIPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5353 BALBOA BLVD, ENCINO, CA 91316-2804
(818) 387-6565
Mailing address
23245 W VAIL DR, WEST HILLS, CA 91307-1449
(949) 514-7728
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
17592
CA
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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