Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A170030 | CA |
N | 111NI0900X | Internist | A170030 | CA |
Y | 207RH0002X | Hospice and Palliative Medicine | A170030 | CA |
NPI | 1396270112 |
---|---|
Provider Name | Babak Jamasian Mobarakeh |
First Address | Fresno, CA 93703-2223 |
Second Address | Fresno, CA 93703-2223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2017 |
Last Update Date | 01/07/2021 |