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NPI Code Detail

MEDICARE: SAHAR BARDI

MEDICARE: SAHAR BARDI
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
1152W00000XOptometrist35612CA

General Provider Information

NPI Number : 1487428603
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAHAR BARDI
Provider Business Mailing Address
First Line : 775 NAPOLI DR
Second Line :
City : PACIFIC PALISADES
State : CA
Zip : 90272-4513
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3200 N SEPULVEDA BLVD STE E4
Second Line :
City : MANHATTAN BEACH
State : CA
Zip : 90266-2469
Country : US
Telephone Number : 310-633-4569
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2023
Last Update Date : 11/08/2023

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Directions to “ SAHAR BARDI ” Practice Location

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