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NPI Code Detail

MEDICARE: BAHAR MEDICAL GROUP INC

MEDICARE: BAHAR MEDICAL GROUP INC
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
1207R00000XInternal Medicine PhysicianA100885CA

General Provider Information

NPI Number : 1417274952
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAHAR MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 601 S BEACH BLVD
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-3102
Country : US
Telephone Number : 949-600-7733
Fax Number : 949-600-8822
Provider Business Practice Location Address
First Line : 601 S BEACH BLVD
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-3102
Country : US
Telephone Number : 949-600-7733
Fax Number : 949-600-8822
Authorized Official
Title or Position : OWNER
Name : ALIREZA KHAZAEIZADEH
Credential : MD
Telephone Number : 949-394-6175
Provider Enumeration Date : 04/23/2010
Last Update Date : 02/17/2026

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Directions to “BAHAR MEDICAL GROUP INC ” Practice Location

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