Bozorgmehr Baradar Heristchian, DPT
Physical Therapist in Beverly Hills, CA. Individual provider (NPI-1).
NPI number1609475706
StatusActive
Last updated in NPPESOct 20, 2020
Details
- NPI
- 1609475706
- Entity type
- Individual (NPI-1)
- Name
- Bozorgmehr Baradar Heristchian
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2020
- Certification date
- Oct 20, 2020
- Last updated
- Oct 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 299164 | CA | Yes |
Practice location
201 N Robertson BlvdBeverly Hills, CA 90211-1729
Phone 404-303-7647
Mailing address
11231 Pickford StLos Angeles, CA 90064-3120
Phone 310-780-1893
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All 119 Physical Therapist providers in Beverly Hills · All 5,572 providers in Beverly Hills
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