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General NPI Number Information
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NPI Number | 1366550378
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Entity Type | Organization
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Legal Business Name | HEALTHMED MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 03/29/2013
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Provider Practice Location Address
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Address Line | 995 W FOOTHILL BLVD
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City | CLAREMONT
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State | CA
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Zip | 91711-3304
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Country | US
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Telephone | 909-399-1900
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Fax | 909-399-1900
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Provider Business Mailing Address
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Address Line | 995 W FOOTHILL BLVD
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City | CLAREMONT
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State | CA
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Zip | 91711-3304
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Country | US
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Telephone | 909-399-1900
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Fax | 909-399-1900
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Authorized Official
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Title or Position | DIRECTOR
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Name | BIJAN BADIHIAN
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Credential | DO
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Telephone | 909-399-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A5933
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License Number State | CA
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