Organization
BABAK DADVAND, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK DADVAND M.D. (PRESIDENT)
(800) 539-9945
Entity
Organization
Contact information
Practice address
9201 W SUNSET BLVD, STE M-130, LOS ANGELES, CA 90069-3701
(310) 278-4200
(310) 276-6801
Mailing address
PO BOX 2904, BEVERLY HILLS, CA 90213-2904
(800) 539-9945
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A95211
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A95211
STATE MEDICAL LICENSE
CA
Enumeration date
12/08/2008
Last updated
09/30/2011
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