Moghadam, Badri
Moghadam, Badri is an individual health care provider with primary practice located at 4000 Barranca Pkwy Ste 250 , Irvine CA 92604-1713. She recently has only one registered license in Behavioral Health & Social Service Providers / Family, which is considered as her primary health care specialty. Moghadam, Badri can be contacted via phone (949) 742-2347.Contact Information
Primary practice address
4000 Barranca Pkwy Ste 250
Irvine CA 92604-1713
Phone: (949) 742-2347
Fax: (949) 679-7595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 20119 | California |
Profile Details
| NPI number | 1932219318 |
|---|---|
| LBN Legal business name | Moghadam, Badri |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Dec 5th, 2019 - about 6 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 | 1932219318 | NPPES |
| California | MEDICAID | 820516286 |
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