Healthcare Provider Details

I. General information

NPI: 1659990224
Provider Name (Legal Business Name): ROBIN BABADJOUNI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 S SAN VICENTE BLVD
LOS ANGELES CA
90048-3311
US

IV. Provider business mailing address

127 S SAN VICENTE BLVD
LOS ANGELES CA
90048-3311
US

V. Phone/Fax

Practice location:
  • Phone: 800-233-2771
  • Fax:
Mailing address:
  • Phone: 800-233-2771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberA165517
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: