Individual
HALEH BAKSHANDEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9730 WILSHIRE BLVD, SUITE 115, BEVERLY HILLS, CA 90212-2022
(310) 274-7623
(310) 274-1032
Mailing address
9730 WILSHIRE BLVD, SUITE 115, BEVERLY HILLS, CA 90212-2022
(310) 274-7623
(310) 274-1032
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A89344
CA
207N00000X
Dermatology Physician
ME87453
FL
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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