Organization · NPI-2

Bahareh B Khavarian MD INC

Internal Medicine · Mission Viejo, CA

NPI number1962573311
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1962573311
Entity type
Organization (NPI-2)
Legal business name
Bahareh B Khavarian MD INC
Organization subpart
No
Enumeration date
Nov 9, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicinea79841CAYes

Practice location

27725 Santa Margarita Pkwy
Suite 108
Mission Viejo, CA 92691-6704

Phone 949-916-8770 · Fax 949-916-8769

Mailing address

27725 Santa Margarita Pkwy
Suite 108
Mission Viejo, CA 92691-6704

Phone 949-916-8770 · Fax 949-916-8769

Authorized official

Bahareh Bahadori Khavarian
President
9499168770

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