Organization
BEHZAD BANIADAM MD APC
Active
Other names
Mission Urgent Care, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEHZAD BANIADAM M.D. (PRES.)
(760) 630-6300
Entity
Organization
Contact information
Practice address
3231 WARING CT STE L, OCEANSIDE, CA 92056-4510
(760) 630-6300
(760) 630-1100
Mailing address
1618 BURGUNDY RD, ENCINITAS, CA 92024-1207
(760) 630-6300
(760) 630-1100
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
FNP31640
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D1022589
CLIA
CA
Enumeration date
07/12/2006
Last updated
03/07/2023
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