Healthcare Provider Details

I. General information

NPI: 1871851923
Provider Name (Legal Business Name): SAHAR BEDROOD MD,PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2012
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: 626-499-5378
Mailing address:
  • Phone: 626-800-5999
  • Fax: 626-499-5378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License NumberA124192
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA124192
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: