Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A121218 | CA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | A121218 | CA |
NPI | 1902111909 |
---|---|
Provider Name | Dr. Haleh Badkoobehi |
First Address | Torrance, CA 90502 |
Second Address | Torrance, CA 90502-2004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2010 |
Last Update Date | 23/02/2018 |