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Search › California › 207V00000X

Bahareh Fazilat, MD

NPI 1770598534 · on the registry since 2006

Practice

Address
4940 Van Nuys Blvd Ste 302
Sherman Oaks, CA 91403
Phone
(310) 507-7748
Fax
(310) 598-7997
Organisation at this address
Walgreen Co
Allstate Lab
Acupuncture Works
Asesu Laser Med Spa
Twin Town Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
78

Registry record

Primary taxonomy
207V00000X
207V00000X
Also registered as
207VG0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California