Individual
DR. BAHAREH GOLBAHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1059 GAYLEY AVE, LOS ANGELES, CA 90024-3401
(310) 208-3031
(310) 208-6831
Mailing address
15519 ADAGIO CT, LOS ANGELES, CA 90077-1501
(310) 440-3416
(310) 208-6831
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT11882
CA
Other
Enumeration date
07/25/2006
Last updated
07/01/2011
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