Fazilat, Bahareh

Fazilat, Bahareh is an individual health care provider with primary practice located at 4940 Van Nuys Blvd Ste 302 , Sherman Oaks CA 91403-1743. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Fazilat, Bahareh can be contacted via phone (310) 507-7748.

Contact Information

Primary practice address
4940 Van Nuys Blvd Ste 302 Sherman Oaks CA 91403-1743
Phone: (310) 507-7748
Fax: (310) 598-7997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X CA90071 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X CA90071 California

Profile Details

NPI number 1770598534
LBN Legal business name Fazilat, Bahareh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Aug 1st, 2021 - about 3 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.

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