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Organization

SOUTHERN CALIFORNIA MULTI-SPECIALTY CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BABAK EGHBALIEH MD (PRESIDENT)
(818) 900-6480
Entity
Organization

Contact information

Practice address
5805 SEPULVEDA BLVD STE 690, SHERMAN OAKS, CA 91411-2522
(818) 900-6480
(818) 900-6488
Mailing address
5805 SEPULVEDA BLVD STE 690, SHERMAN OAKS, CA 91411-2522
(818) 900-6480
(818) 900-6488

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
208600000X
Surgery Physician
Primary
2086S0129X
Vascular Surgery Physician

Other

Enumeration date
11/29/2018
Last updated
12/12/2018
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