Individual
DR. REZA BAVARSAD SHAHRIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(858) 249-6748
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
164805
CA
2084V0102X
Vascular Neurology Physician
Primary
A164805
CA
Other
Enumeration date
04/15/2016
Last updated
07/23/2024
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