| Daniel Ghiyam M D Inc | |
|
2840 E Los Angeles Ave Simi Valley CA 93065-3937 | |
| (805) 526-8360 | |
| Not Available |
| Full Name | Daniel Ghiyam M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2840 E Los Angeles Ave, Simi Valley, California |
| Authorized Official Name and Position | Daniel Ghiyam (PRESIDENT) |
| Authorized Official Contact | 8055268360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Ghiyam M D Inc 2840 E Los Angeles Ave Simi Valley CA 93065-3937 Ph: () - | Daniel Ghiyam M D Inc 2840 E Los Angeles Ave Simi Valley CA 93065-3937 Ph: (805) 526-8360 |
| NPI Number | 1114245842 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 05/05/2010 |
| Medicare PECOS PAC ID | 1850429085 |
|---|---|
| Medicare Enrollment ID | O20100510000474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114245842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A75370 (California) | Primary |
| Provider Name | Daniel Ghiyam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750378188 PECOS PAC ID: 4486782612 Enrollment ID: I20100510000503 |
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