Individual
GHOLAMREZA BADIEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MOODY CT STE 110, THOUSAND OAKS, CA 91360-6076
(805) 418-3500
(805) 418-3505
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A117668
CA
Other
Enumeration date
01/24/2012
Last updated
01/06/2020
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