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Baharak Forouzan, PA
Medical Physician Assistant in Poway, California
NPI 1427421569

Baharak Forouzan is a Medical Physician Assistant based in Poway, CA and is specialized in Medical. Baharak Forouzan practices in Poway, CA and has the professional credentials of PA. The NPI Number for Baharak Forouzan is 1427421569 and holds a License No. PA52147 (California).

The current practice location address for Baharak Forouzan is 15611 Pomerado Rd Ste 525, Poway, CA and can be reached out via phone at 858-485-5301.

Location: 15611 Pomerado Rd Ste 525, Poway, CA, 92064-1002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427421569
Provider Name
Baharak Forouzan
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
15611 Pomerado Rd Ste 525, Poway, CA, 92064-1002
Phone Number
858-485-5301
Fax Number
Provider Enumeration Date
11/12/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15611 Pomerado Rd Ste 525
City
Poway
State
California
Zip
92064-2439
Phone Number
858-485-5301
Fax Number
person
Provider Business Mailing Address Details
Address
15611 Pomerado Rd Ste 525
City
Poway
State
California
Zip
92064-2439
Phone Number
858-485-5301
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA52147 (California)
Definition
Definition to come...
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