Organization
HOPE GERIATRIC MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMID MOUSAVI BEHBAHANI MD (CEO)
(310) 869-2151
Entity
Organization
Contact information
Practice address
9 COURSAN, LAGUNA NIGUEL, CA 92677-8902
(310) 869-2151
Mailing address
9 COURSAN, LAGUNA NIGUEL, CA 92677-8902
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043444029
BLUE CROSS
CA
Enumeration date
03/07/2019
Last updated
08/19/2019
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