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NPI 1609108760

NPI 1609108760 : BABAK ABEDI M.D., INC. : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1609108760
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    Entity Type          |    Organization 
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    Legal Business Name  |    BABAK ABEDI M.D., INC. 
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Dates
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    Enumeration Date     |    02/01/2010
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    Last Update Date     |    05/13/2015
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Provider Practice Location Address
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    Address Line         |    7095 HOLLYWOOD BLVD 706
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90028-8903
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    Country              |    US
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    Telephone            |    323-745-7700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7095 HOLLYWOOD BLVD 706
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90028-8903
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    Country              |    US
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    Telephone            |    323-745-7700
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/PHYSICIAN
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    Name                 |     BABAK  ABEDI 
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    Credential           |    M.D.
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    Telephone            |    310-880-2536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    A95902
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    208VP0000X
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    Taxonomy Name        |    Pain Medicine Physician
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    License Number       |    A95902
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    License Number State |    CA
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