Individual
REZA BABAPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
414 N CAMDEN DR, SUITE 1001, BEVERLY HILLS, CA 90210-4532
(310) 247-0337
(310) 247-0343
Mailing address
414 N CAMDEN DR, SUITE 1001, BEVERLY HILLS, CA 90210-4532
(310) 247-0337
(310) 247-0343
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G77137
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G771370
BLUE SHIELD
CA
Enumeration date
08/22/2006
Last updated
11/10/2014
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