Individual
DR. RAED BARGOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 N VERMONT AVE, 401, LOS ANGELES, CA 90027-6005
(323) 664-6535
Mailing address
1300 N VERMONT AVE, 401, LOS ANGELES, CA 90027-6005
(323) 664-6535
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C53521
CA
Other
Enumeration date
09/21/2005
Last updated
04/14/2010
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