Bagh, Mohamad Izzat
Bagh, Mohamad Izzat is an individual health care provider with primary practice located at 10900 Warner Ave Suite 101A, Fountain Valley CA 92708-3846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bagh, Mohamad Izzat can be contacted via phone (714) 698-1270.Contact Information
Primary practice address
10900 Warner Ave Suite 101A
Fountain Valley CA 92708-3846
Phone: (714) 698-1270
Fax: (714) 962-7261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A55324 | California |
Profile Details
| NPI number | 1740245323 |
|---|---|
| LBN Legal business name | Bagh, Mohamad Izzat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Apr 19th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740245323 | NPPES |
| California | MEDICAID | 00A553240 |
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