Healthcare Provider Details

I. General information

NPI: 1639097397
Provider Name (Legal Business Name): SAHAR BEDROOD, MD. PHD, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1070 E GREEN ST STE 200
PASADENA CA
91106-2434
US

IV. Provider business mailing address

1070 E GREEN ST STE 200
PASADENA CA
91106-2434
US

V. Phone/Fax

Practice location:
  • Phone: 626-800-5999
  • Fax:
Mailing address:
  • Phone: 626-800-5999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: SAHAR BEDROOD
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 626-800-5999