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General NPI Number Information
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NPI Number | 1730856592
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Entity Type | Organization
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Legal Business Name | BABAK BOBBY ROSTAMI MD APC
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Dates
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Enumeration Date | 08/27/2021
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Last Update Date | 08/27/2021
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Provider Practice Location Address
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Address Line | 9616 CRESTA DR
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City | LOS ANGELES
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State | CA
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Zip | 90035-4004
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Country | US
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Telephone | 213-999-1850
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Fax |
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Provider Business Mailing Address
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Address Line | 113 N SAN VICENTE BLVD
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2329
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Country | US
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Telephone | 213-999-1850
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Fax |
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Authorized Official
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Title or Position | MD
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Name | BABAK ROSTAMI
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Credential | M.D INTERNAL MEDICI
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Telephone | 310-963-4786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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