Behrouz Dardashti M.d A Medical Corporation | |
16250 Ventura Blvd Suite 230 Encino CA 91436-2204 | |
(818) 995-6003 | |
(818) 995-3862 |
Full Name | Behrouz Dardashti M.d A Medical Corporation |
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Speciality | General Practice |
Location | 16250 Ventura Blvd, Encino, California |
Authorized Official Name and Position | Behrouz Dardashti (PRESIDENT) |
Authorized Official Contact | 8189956003 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Behrouz Dardashti M.d A Medical Corporation 16250 Ventura Blvd Suite 230 Encino CA 91436-2204 Ph: (818) 995-6003 | Behrouz Dardashti M.d A Medical Corporation 16250 Ventura Blvd Suite 230 Encino CA 91436-2204 Ph: (818) 995-6003 |
NPI Number | 1780055269 |
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Provider Enumeration Date | 10/09/2015 |
Last Update Date | 08/25/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780055269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A38320 (California) | Primary |
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