Babak Baradar-Bokaie MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A85378 Issued in CA

Legal business name

BABAK BARADAR-BOKAIE MD INC

Practice address

511 East Manchester Blvd
Inglewood, CA 90301-1907

Phone

(310) 672-9000

Fax

(310) 672-9030

NPI assigned

May 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Babak Baradar-Bokaie, MD

Title

President Ceo Secretary

Phone

(310) 672-9000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760438725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 EAST MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011907",
            "telephone_number": "610-672-9000",
            "fax_number": "310-672-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 EAST MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011907",
            "telephone_number": "310-672-9000",
            "fax_number": "310-672-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABAK BARADAR-BOKAIE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARADAR-BOKAIE",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "PRESIDENT CEO SECRETARY",
        "authorized_official_telephone_number": "310-672-9000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A85378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Internal Medicine Physician in California

• 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.