Organization
BITA ADIB BAGHERI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BITA BAGHERI (OWNER)
(949) 236-7900
Entity
Organization
Contact information
Practice address
520 SUPERIOR AVE STE 335, NEWPORT BEACH, CA 92663-3672
(949) 236-7900
(949) 236-7900
Mailing address
520 SUPERIOR AVE STE 335, NEWPORT BEACH, CA 92663-3672
(949) 236-7900
(949) 236-7900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
08/15/2022
Last updated
01/06/2025
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