| Doctor Name: | BABAK ALAVYNEJAD |
| NPI Number: | 1003984436 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | E3996 |
| Business Practice Address: | 741 S Orange Ave West Covina, CA - 917902662 |
| Business Phone Number: | 6263381800 |
| Business Fax Number: | |
| Mailing Address: | 269 S Beverly Dr # 668, BEVERLY HILLS |
| State: | CA |
| Postal Code: | 902123851 |
| Phone Number: | 6263381800 |
| Fax Number: | 6263383720 |
| NPI Enumeration Date: | 12/02/2006 |
| NPI Last Update Date: | 06/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E3996 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |