Organization
BAHAR MEDICAL GROUP INC
Active
Other names
Vital Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALIREZA KHAZAEIZADEH MD (MEDICAL DIRECTOR)
(949) 600-7733
Entity
Organization
Contact information
Practice address
601 S BEACH BLVD, ANAHEIM, CA 92804-3102
(949) 600-7733
(949) 600-8822
Mailing address
24001 CALLE DE LA MAGDALENA # 2413, LAGUNA HILLS, CA 92654-9998
(949) 600-7733
(949) 600-8822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A100885
CA
Other
Enumeration date
04/23/2010
Last updated
05/11/2026
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