Individual
DR. SHAHIN BAGHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
191 S BUENA VISTA ST., STE 420, BURBANK, CA 91505-4551
(818) 557-7399
(818) 848-1543
Mailing address
8510 BALBOA BLVD, STE 150, NORTHRIDGE, CA 91325-5810
(818) 654-3400
(818) 654-3417
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
34357
IA
207RR0500X
Rheumatology Physician
Primary
A77192
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0290809
—
IA
01
—
35155
BLUE CROSS/BLUE SHIELD
IA
Enumeration date
07/08/2005
Last updated
07/19/2024
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