Individual provider · Type 1 NPI

Babak Khorram, PHYSICIAN ASSISTANT

Medical Physician Assistant · Norwalk, CA

NPI number 1902820152 Active

Practice location

13330 Bloomfield Ave
Norwalk, CA 90650-3251

Mailing address

62 Rockport
Irvine, CA 92602-1050

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA14508 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1902820152

Babak Khorram, PHYSICIAN ASSISTANT's National Provider Identifier is 1902820152, issued on Jul 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Norwalk, CA. The record was last updated on Jul 9, 2007.