Individual
MR. AMIR HOSSEIN BAHADORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4955 VAN NUYS BLVD, SUITE 405, SHERMAN OAKS, CA 91403
(818) 995-8240
(818) 995-8260
Mailing address
4955 VAN NUYS BLVD, SUITE 405, SHERMAN OAKS, CA 91403
(818) 995-8240
(818) 995-8260
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
A65627
CA
207R00000X
Internal Medicine Physician
Primary
A65627
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A656270
—
CA
Enumeration date
07/11/2006
Last updated
02/12/2025
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