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BAHAR MEDICAL GROUP INC NPI 1417274952


NPI Information

NPI: 1417274952
Provider Name: BAHAR MEDICAL GROUP INC

Doing Business As: VITAL PRIMARY CARE

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D2066443

Address:
2507 EASTBLUFF DR
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 600-7733
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BAHAR MEDICAL GROUP INC is a specialist in Newport Beach, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BAHAR MEDICAL GROUP INC NPI is 1417274952. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vital Primary Care.

The provider's business location address is:

2507 EASTBLUFF DR
NEWPORT BEACH, CA
ZIP 92660-504
Phone: (949) 600-7733
Fax: (949) 600-8822

The provider's authorized official is Alireza Khazaeizadeh .
The authorized official title is Ceo / President and has the following contact phone number (949) 394-6175.

The CLIA number assigned to this NPI record is 05D2066443 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2010 and was last updated on 11/29/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA100885CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.