Individual
DR. BABAK ROBERT BAMSHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8635 W 3RD ST, NO. 765W, LOS ANGELES, CA 90048-6101
(310) 854-0777
(310) 289-5198
Mailing address
8635 W 3RD ST, NO. 765W, LOS ANGELES, CA 90048-6101
(310) 854-0777
(310) 289-5198
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
G81239
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G812391
—
CA
Enumeration date
03/13/2007
Last updated
08/27/2010
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