Organization
B.S.N. EGHBALIEH MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK EGHBALIEH MD (CEO)
(310) 560-1612
Entity
Organization
Contact information
Practice address
5805 SEPULVEDA BLVD STE 690, SHERMAN OAKS, CA 91411-2522
(818) 900-6480
Mailing address
1 CITY BLVD W STE 1100, ORANGE, CA 92868-3647
(714) 571-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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