Individual
FATEMEH BAGHERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20011 VENTURA BLVD # 1002, WOODLAND HILLS, CA 91364-2573
(310) 488-5680
Mailing address
22246 VICTORY BLVD APT F219, WOODLAND HILLS, CA 91367-1813
(310) 488-5680
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
196853
CA
2471S1302X
Sonography Radiologic Technologist
196853
CA
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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