Physician Compare National (NPI:1073619789)

HEALTHCARE PROVIDER: ABES SEYYED BAGHERI M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1073619789
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2264691351
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120308000759
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BAGHERI
	Individual professional last name
Provider First Name	ABES
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1959
	Individual professional's medical school graduation year
Primary Specialty	GERIATRIC PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3801 KATELLA AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 210
	Group Practice or individual's line 2 address
City	LOS ALAMITOS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	907203378
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5624311918
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y