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Individual

DR. JOEL ALAN BADEAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5039 WESTSLOPE LN, LA CANADA FLINTRIDGE, CA 91011-2766
(323) 487-0874
(323) 928-2485
Mailing address
5039 WESTSLOPE LN, LA CANADA FLINTRIDGE, CA 91011-2766
(323) 487-0874
(323) 928-2485

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A115633
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
FHC70042F, FHC70044
COUNTY OF SANTA CRUZ MEDI-CAL PROVIDER #S
CA
01
ZZZ91891Z
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
CA
01
ZZZ91892ZZ
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
CA
01
ZZZ92069Z
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
CA
Enumeration date
09/08/2008
Last updated
06/29/2023
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