Organization
BSN SURGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAK EGHBALIEH MD (CFO)
(818) 900-6481
Entity
Organization
Contact information
Practice address
5805 SEPULVEDA BLVD STE 550, SHERMAN OAKS, CA 91411-2587
(818) 900-6481
Mailing address
5805 SEPULVEDA BLVD STE 550, SHERMAN OAKS, CA 91411-2587
(818) 900-6481
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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