B.S.N. Eghbalieh Medical Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

B.S.N. EGHBALIEH MEDICAL CORPORATION

Practice address

5805 Sepulveda Blvd Ste 690
Sherman Oaks, CA 91411-2522

Phone

(818) 900-6480

NPI assigned

Dec 18, 2019

Organization subpart

No

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

Authorized official

Name

Babak Eghbalieh, MD

Title

Ceo

Phone

(310) 560-1612

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1467090696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CITY BLVD W STE 1100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683647",
            "telephone_number": "714-571-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 SEPULVEDA BLVD STE 690",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112522",
            "telephone_number": "818-900-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.S.N. EGHBALIEH MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "EGHBALIEH",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-560-1612",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.