Organization
YAGHOUB BADYMOGHADDAM MD INC
Active
Other names
Commerce Medical Clinic, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAGHOUB BADYMOGHADDAM M.D. (PRESIDENT)
(323) 727-7000
Entity
Organization
Contact information
Practice address
5726 E OLYMPIC BLVD, LOS ANGELES, CA 90022-5120
(323) 727-7000
Mailing address
5726 E OLYMPIC BLVD, LOS ANGELES, CA 90022-5120
(323) 727-7000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11111
WAITING FOR MEDI-CAL NUMB
CA
Enumeration date
07/26/2007
Last updated
07/26/2007
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