Individual
BAHAREH RAVANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-4100
(323) 361-3642
Mailing address
3701 WILSHIRE BOULEVARD, SUITE #600, LOS ANGELES, CA 90010-2814
(323) 361-3550
(323) 361-8052
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
142959
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2013
Last updated
06/30/2016
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