Individual provider · NPI-1

Dr. Negin Behazin, MD

Internal Medicine · Garden Grove, CA

NPI number1497076301
StatusActive
Last updated in NPPESMay 30, 2019

Details

NPI
1497076301
Entity type
Individual (NPI-1)
Name
Dr. Negin Behazin
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 15, 2010
Last updated
May 30, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineA131359CAYes
208D00000X General Practice131359CA

Practice location

12462 Brookhurst St
Garden Grove, CA 92840-4759

Phone 714-636-9850 · Fax 714-636-1248

Mailing address

360 Freeman Ave
Unit 14
Long Beach, CA 90814-2406

Phone 409-234-2946

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