Individual
BEHNAZ BABAKNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-3720
(657) 241-3750
Mailing address
17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-3720
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56017
CA
Other
Enumeration date
11/30/2018
Last updated
01/25/2019
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