Provider Demographics
NPI:1649811084
Name:BAYGI, FIROOZEH
Entity type:Individual
Prefix:
First Name:FIROOZEH
Middle Name:
Last Name:BAYGI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 S LA CIENEGA BLVD STE 332
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3358
Mailing Address - Country:US
Mailing Address - Phone:310-770-9633
Mailing Address - Fax:
Practice Address - Street 1:292 S LA CIENEGA BLVD STE 332
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3358
Practice Address - Country:US
Practice Address - Phone:310-770-9633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAZ96667174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist