Individual
BABAK PISHGOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16250 VENTURA BLVD, 202, ENCINO, CA 91436-2204
(818) 986-0024
Mailing address
16250 VENTURA BLVD, 202, ENCINO, CA 91436-2204
(818) 986-0024
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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