Individual
MR. BAHMAN MOGHADDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6800 BALBOA BLVD STE G, VAN NUYS, CA 91406-4578
(818) 902-1919
(818) 902-0505
Mailing address
6800 BALBOA BLVD STE G, VAN NUYS, CA 91406-4578
(818) 902-1919
(818) 902-0505
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL5568
CA
Other
Enumeration date
02/07/2008
Last updated
02/11/2008
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