Individual
DR. BABAK K. DARVISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17525 VENTURA BLVD, SUITE #203, ENCINO, CA 91316-3843
(818) 225-5362
Mailing address
11301 WILSHIRE BLVD, DEPT. OF PM&R, MAIL CODE #117, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4995
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A65838
CA
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A65838
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
A65838
CA
Other
Enumeration date
10/04/2006
Last updated
03/15/2014
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