Organization Active NPI

Haleh Bakshandeh MD PA

  • Dermatology Physician
  • Beverly Hills, CA
National Provider Identifier
1306972690
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A89344 Issued in CA
Legal business name
HALEH BAKSHANDEH MD PA
Practice address
9730 Wilshire Blvd
Suite # 115
Beverly Hills, CA 90212-2022
Phone
(310) 274-7623
Fax
(310) 274-1032
NPI assigned
Feb 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Haleh Bakshandeh, M.D.NPI 1770684219
Title
President
Phone
(305) 205-0230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A89344 CA Primary

Addresses

Primary practice location

9730 Wilshire Blvd
Suite # 115
Beverly Hills, CA 90212-2022

Mailing address

9730 Wilshire Blvd
Suite # 115
Beverly Hills, CA 90212-2022
Phone (310) 274-7623

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306972690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 WILSHIRE BLVD",
            "address_2": "SUITE # 115",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122022",
            "telephone_number": "310-274-7623",
            "fax_number": "310-274-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 WILSHIRE BLVD",
            "address_2": "SUITE # 115",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122022",
            "telephone_number": "310-274-7623",
            "fax_number": "310-274-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALEH BAKSHANDEH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKSHANDEH",
        "authorized_official_first_name": "HALEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-205-0230",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A89344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.