MEDICARE: ASAD JULIAN BEDRAN D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	20A15895	CA

General Provider Information

NPI Number	:	1306200563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASAD JULIAN BEDRAN D.O

Provider Business Mailing Address
First Line	:	130 SUTTER ST FL 2
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94104-4009
Country	:	US
Telephone Number	:	415-658-6791
Fax Number	:

Provider Business Practice Location Address
First Line	:	8570 W SUNSET BLVD STE 1.5
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90069-2359
Country	:	US
Telephone Number	:	310-500-2041
Fax Number	:	323-305-7149

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2016
Last Update Date	:	07/01/2021

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