National Provider Identifier Database

BRUCE B BAGHERI, MD – NPI #1053421123
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

BRUCE B BAGHERI, MD
1560 E CHEVY CHASE DR
445
GLENDALE, CA91206-4197
Phone: 818-247-3938
Fax: 818-247-7249
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for BRUCE B BAGHERI

NPI Number 1053421123
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 08/06/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • CA License #: G70830
  • CA Medicaid: 00G708300
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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