Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Babak Khorram, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1902820152

Mr. Babak Khorram, PHYSICIANASSISTANT is a Physician Assistant in Norwalk, California. Qualified in 1997, 29 years ago. Practices with Jacqueline B Aguiluz D O Inc, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
29
Licensed in
CA
In the registry since
2006

Practice location Address checks out

13330 Bloomfield Ave
Norwalk, CA 90650-3251
Phone: (562) 868-0733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA14508 (CA)

Record details

NPI number1902820152
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESJuly 9, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Jacqueline B Aguiluz D O Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Norwalk