| Babak Pezeshki, M.d., A Professional Corporation | |
|
520 Superior Ave Suite 280 Newport Beach CA 92663-3637 | |
| (949) 645-2800 | |
| (949) 645-2810 |
| Full Name | Babak Pezeshki, M.d., A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 Superior Ave, Newport Beach, California |
| Authorized Official Name and Position | Babak Pezeshki (PRESIDENT) |
| Authorized Official Contact | 9496452800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Babak Pezeshki, M.d., A Professional Corporation 520 Superior Ave Suite 280 Newport Beach CA 92663-3637 Ph: (949) 645-2800 | Babak Pezeshki, M.d., A Professional Corporation 520 Superior Ave Suite 280 Newport Beach CA 92663-3637 Ph: (949) 645-2800 |
| NPI Number | 1487822326 |
|---|---|
| Provider Enumeration Date | 02/13/2008 |
| Last Update Date | 06/09/2011 |
| Medicare PECOS PAC ID | 0840376679 |
|---|---|
| Medicare Enrollment ID | O20080319000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487822326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | (* (Not Available)) | Primary |
| Provider Name | Babak Pezeshki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245269802 PECOS PAC ID: 1850356718 Enrollment ID: I20041119001061 |
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