Healthcare Provider Details

I. General information

NPI: 1972914133
Provider Name (Legal Business Name): HASAN BADDAY MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2014
Last Update Date: 10/11/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 ODYSSEY SUITE 165
IRVINE CA
92618-3194
US

IV. Provider business mailing address

5 HOLLAND SUITE 101
IRVINE CA
92618-2568
US

V. Phone/Fax

Practice location:
  • Phone: 949-872-2632
  • Fax: 949-258-5011
Mailing address:
  • Phone: 949-588-2190
  • Fax: 949-588-2199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: HASAN BADDAY
Title or Position: OWNER
Credential: MD
Phone: 949-872-2632