Organization
AMIR H. BAHADORI, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMIR HOSSEIN BAHADORI M.D. (PRESIDENT/OWNER)
(818) 995-8240
Entity
Organization
Contact information
Practice address
4955 VAN NUYS BLVD, SUITE 405, SHERMAN OAKS, CA 91403
(818) 995-8240
(818) 995-8260
Mailing address
4955 VAN NUYS BLVD, SUITE 405, SHERMAN OAKS, CA 91403
(818) 995-8240
(818) 995-8260
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A65627
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A656270
—
CA
Enumeration date
04/14/2008
Last updated
11/16/2018
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