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Mr. Babak Khorram, PHYSICIANASSISTANT
Medical Physician Assistant in Norwalk, California
NPI 1902820152

Babak Khorram is a Medical Physician Assistant based in Irvine, CA and is specialized in Medical. Babak Khorram practices in Norwalk, CA and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Babak Khorram is 1902820152 and holds a License No. PA14508 (California).

The current practice location address for Babak Khorram is 13330 Bloomfield Ave, Norwalk, CA and can be reached out via phone at 562-868-0733.

Location: 13330 Bloomfield Ave, Norwalk, CA, 92602-1050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902820152
Provider Name
Babak Khorram
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
13330 Bloomfield Ave, Norwalk, CA, 92602-1050
Phone Number
562-868-0733
Fax Number
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA14508 05 CA
institution
Provider Business Practice Location Address Details
Address
13330 Bloomfield Ave
City
Norwalk
State
California
Zip
90650-3251
Phone Number
562-868-0733
Fax Number
person
Provider Business Mailing Address Details
Address
13330 Bloomfield Ave
City
Norwalk
State
California
Zip
90650-3251
Phone Number
562-868-0733
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA14508 (California)
Definition
Definition to come...
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