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Organization

B. ROBERT BAMSHAD, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BABAK ROBERT BAMSHAD M.D. (PRESIDENT)
(310) 854-0777
Entity
Organization

Contact information

Practice address
8635 W 3RD ST, SUITE 765W, LOS ANGELES, CA 90048-6101
(310) 854-0777
(310) 289-5198
Mailing address
8635 W 3RD ST, SUITE 765W, LOS ANGELES, CA 90048-6101
(310) 854-0777
(310) 289-5198

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G81239
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G812391
CA
Enumeration date
05/14/2008
Last updated
05/14/2008
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