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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 Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRUCE B BAGHERI · (Male)

NPI Number 1053421123
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 08/06/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G70830
  • CA Medicaid 00G708300
Hospital affiliation(s)
  • GLENDALE ADVENTIST MEDICAL CENTER - (Acute Care)
    1509 E WILSON TERRACE
    GLENDALE, CA 91206
  • GLENDALE MEMORIAL HOSPITAL & HEALTH CENTER - (Acute Care)
    1420 S CENTRAL AVE
    GLENDALE, CA 91204
  • VERDUGO HILLS HOSPITAL - (Acute Care)
    1812 VERDUGO BLVD
    GLENDALE, CA 91209
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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