Most Relevant Information
Provider Data
| NPI Number: | 1003350364 |
| Provider Name: | BIJAN BABAEIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/06/2016 |
| Last Updated: | 12/06/2016 |
Provider Practice Location
260 MAPLE COURT
VENTURA
CA
93003
Practice Location Phone/Fax
| Phone: | 8185405434 |
| Fax: |
Provider Mailing Location
260 MAPLE CT
VENTURA
CA
930033516
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |