Individual provider · NPI-1

Hedieh Badkoobehi, M.D.

Family Medicine, Adult Medicine · Poway, CA

NPI number1689708695
StatusActive
Last updated in NPPESDec 1, 2021

Details

NPI
1689708695
Entity type
Individual (NPI-1)
Name
Hedieh Badkoobehi
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Mar 15, 2007
Last updated
Dec 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0505X Family Medicine, Adult MedicineA81155CAYes
207Q00000X Family MedicineA81155CA

Practice location

15611 Pomerado Rd
Suite 400
Poway, CA 92064-2437

Phone 858-675-3100 · Fax 858-618-1523

Mailing address

Po Box 28199
San Diego, CA 92198-0199

Phone 858-675-3100 · Fax 858-618-1523

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