Individual
DR. BAHAREH FAZILAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4940 VAN NUYS BLVD STE 302, SHERMAN OAKS, CA 91403-1743
(310) 507-7748
(310) 598-7997
Mailing address
4940 VAN NUYS BLVD STE 302, SHERMAN OAKS, CA 91403-1743
(310) 507-7748
(310) 598-7997
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
CA90071
CA
207VG0400X
Gynecology Physician
CA90071
CA
Other
Enumeration date
07/30/2006
Last updated
10/22/2024
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