| H. Babaali, M.d. Medical Inc. | |
|
2428 Santa Monica Blvd Suite 402 Santa Monica CA 90404-2045 | |
| (310) 367-3268 | |
| (310) 828-6635 |
| Full Name | H. Babaali, M.d. Medical Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2428 Santa Monica Blvd, Santa Monica, California |
| Authorized Official Name and Position | Hossein Babaali (PRESIDENT) |
| Authorized Official Contact | 3103673268 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| H. Babaali, M.d. Medical Inc. 2428 Santa Monica Blvd Suite 402 Santa Monica CA 90404-2045 Ph: (310) 367-3268 | H. Babaali, M.d. Medical Inc. 2428 Santa Monica Blvd Suite 402 Santa Monica CA 90404-2045 Ph: (310) 367-3268 |
| NPI Number | 1194964171 |
|---|---|
| Provider Enumeration Date | 02/13/2009 |
| Last Update Date | 02/13/2009 |
| Medicare PECOS PAC ID | 0345391918 |
|---|---|
| Medicare Enrollment ID | O20090623000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194964171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | G86162 (California) | Primary |
| Provider Name | Hossein Babaali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699790584 PECOS PAC ID: 0547206559 Enrollment ID: I20050629001235 |
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