Individual
DR. BABAK EGHBALIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
5805 SEPULVEDA BLVD STE 690, SHERMAN OAKS, CA 91411-2522
(818) 900-6480
(818) 900-6489
Mailing address
5805 SEPULVEDA BLVD STE 690, SHERMAN OAKS, CA 91411-2522
(818) 900-6480
(818) 900-6488
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A89592
CA
2086X0206X
Surgical Oncology Physician
A89592
CA
208C00000X
Colon & Rectal Surgery Physician
A89592
CA
Other
Enumeration date
08/05/2007
Last updated
07/31/2023
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