Active NPI
Haleh Bakshandeh MD PA
- Dermatology Physician
- Beverly Hills, CA
National Provider Identifier
1306972690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A89344
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Haleh Bakshandeh, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Dermatology Physician
- Beverly Hills, CA
- NPI 1770684219
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.