Physician Compare National (NPI:1932225208)

HEALTHCARE PROVIDER: YAGHOUB BADYMOGHADDAM 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	1932225208
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5597714378
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050119000558
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BADYMOGHADDAM
	Individual professional last name
Provider First Name	YAGHOUB
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1962
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	EMERGENCY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	EMERGENCY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	5726 E OLYMPIC BLVD
	Group Practice or individual's line 1 address
City	LOS ANGELES
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	900225120
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3237277000
	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