Healthcare Provider Details

I. General information

NPI: 1083578538
Provider Name (Legal Business Name): BAHAR ATTARIPOUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 E WASHINGTON BLVD STE 100
COMMERCE CA
90040-2451
US

IV. Provider business mailing address

6508 DEBS AVE
WEST HILLS CA
91307-2919
US

V. Phone/Fax

Practice location:
  • Phone: 562-928-9600
  • Fax: 323-477-1738
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA68841
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: