Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | A65838 | CA |
N | 2081S0010X | Sports Medicine | A65838 | CA |
N | 213ES0000X | Sports Medicine | A65838 | CA |
NPI | 1528154192 |
---|---|
Provider Name | Dr. Babak K. Darvish |
First Address | Los Angeles, CA 90073-1003 |
Second Address | Encino, CA 91316-3843 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 15/03/2014 |