Individual
BOZORGMEHR BARADAR HERISTCHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
201 N ROBERTSON BLVD, BEVERLY HILLS, CA 90211-1729
(404) 303-7647
Mailing address
11231 PICKFORD ST, LOS ANGELES, CA 90064-3120
(310) 780-1893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
299164
CA
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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