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05D2076227 CLIA NUMBER - PEJMAN BAHARI-NEJAD DO, A PROFESSIONAL MEDICAL CORPORATION DBA BAHARI MEDICAL GROUP

Laboratory Demographics

CLIA Number: 05D2076227

Facility Name: PEJMAN BAHARI-NEJAD DO, A PROFESSIONAL MEDICAL CORPORATION DBA BAHARI MEDICAL GROUP

Facility Address:
20829 VENTURA BLVD
WOODLAND HILLS, CA
ZIP 91364
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Facility Phone Number: 818 887-2787

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1396885570

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 05D2076227
LAB Type Physician Office
Facility Name PEJMAN BAHARI-NEJAD DO, A PROFESSIONAL MEDICAL CORPORATION DBA BAHARI MEDICAL GROUP
Street 20829 VENTURA BLVD
City WOODLAND HILLS
State CA
ZIP 91364
Phone 818 887-2787
CertificateType 4
CertificateEffectiveDate 4/14/2024
CertificateExpirationDate 4/13/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024