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YAGHOUB BADYMOGHADDAM MD INC NPI 1427248368


NPI Information

NPI: 1427248368
Provider Name: YAGHOUB BADYMOGHADDAM MD INC

Doing Business As: COMMERCE MEDICAL CLINIC, INC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
5726 E OLYMPIC BLVD
LOS ANGELES, CA
ZIP 90022
Phone: (323) 727-7000
Get Directions

YAGHOUB BADYMOGHADDAM MD INC is a general practice in Los Angeles, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee YAGHOUB BADYMOGHADDAM MD INC NPI is 1427248368. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Commerce Medical Clinic, Inc.

The provider's business location address is:

5726 E OLYMPIC BLVD
LOS ANGELES, CA
ZIP 90022-120
Phone: (323) 727-7000

The provider's authorized official is Yaghoub Badymoghaddam .
The authorized official title is President and has the following contact phone number (323) 727-7000.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 7/26/2007.


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
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
111111OTHERCALIFORNIAWAITING FOR MEDI-CAL NUMB

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

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