Bagheri, Bruce Behrooz
Bagheri, Bruce Behrooz is an individual health care provider with primary practice located at 1560 E Chevy Chase Dr 445, Glendale CA 91206-4197. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bagheri, Bruce Behrooz can be contacted via phone (818) 247-3938.Contact Information
Primary practice address
1560 E Chevy Chase Dr 445
Glendale CA 91206-4197
Phone: (818) 247-3938
Fax: (818) 247-7249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G70830 | California |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G70830 | California |
Profile Details
| NPI number | 1053421123 |
|---|---|
| LBN Legal business name | Bagheri, Bruce Behrooz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Aug 6th, 2015 - about 10 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 | 1053421123 | NPPES |
| California | MEDICAID | 00G708300 |
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