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DR. JOEL ALAN BADEAUX M.D.

Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1992953517

Individual Registrant:
DR. JOEL ALAN BADEAUX M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5039 WESTSLOPE LN  LA CANADA FLINTRIDGE, CA 91011-2766 US
Tel: 323-487-0874  Fax: 323-928-2485

Contact information for business:
5039 WESTSLOPE LN  LA CANADA FLINTRIDGE, CA 91011-2766 US
Tel: 323-487-0874  Fax: 323-928-2485

Registration Information:
NPI: 1992953517
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084P0800XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
Psychiatry
CAA115633

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#ZZZ92069ZCA01
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#ZZZ91891ZCA01
COUNTY OF SANTA CRUZ MEDI-CAL PROVIDER #SFHC70042F, FHC70044CA01
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#ZZZ91892ZZCA01




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