MEDICARE: MERCEDEH BAGHAI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	A94732	CA

General Provider Information

NPI Number	:	1528014644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERCEDEH BAGHAI MD

Provider Business Mailing Address
First Line	:	21143 HAWTHORNE BLVD STE 416
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90503-4615
Country	:	US
Telephone Number	:	310-602-5002
Fax Number	:	310-325-9105

Provider Business Practice Location Address
First Line	:	510 N PROSPECT AVE STE 115
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-3028
Country	:	US
Telephone Number	:	310-602-5002
Fax Number	:	310-325-9105

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	04/07/2026

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