KOUROSH BAGHERI, M.D., M.S., A PROFESSIONAL CORPORATION
Osteopathic Medicine at Pacific St, San Luis Obispo, CA

License number
California G77496
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: KOUROSH BAGHERI M.D., M.S.
Title: OWNER/MEDICAL DIRECTOR
Phone: (805) 781-9111
Address
Address
1194 Pacific St SUITE 100, San Luis Obispo, CA 93401
National Provider ID: 1740367275
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KOUROSH BAGHERI M.D./M.S., A PROFESSIONAL CORPORATION

1194 Pacific St SUITE 100, San Luis Obispo, CA 93401

Industry:
Medical Doctor's Office
Doing business as:
Kourosh Bagheri Mdms PC
Registration:
Jan 5, 2001
State ID:
C2328761
Business type:
Articles of Incorporation
Office Managers:
Kourosh Bagheri (Internal Medicine, Medical Director, Medical Doctor, Owner, President),Michelle Taylor (Nurse, Nurse Practitioner, Rn, Msn, Acn),Meredyth Inman Office Manager, inactive

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