# EHSAN DAYANIM ACUPUNCTURIST INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063446037
- **Authorized official:** MR. EHSAN ESI DAYANIM L.AC. (PRESIDENT)
- **Authorized official phone:** (818) 981-6132

## Contact information

- **Practice address:** 16661 VENTURA BLVD, ENCINO, CA 91436-1914
- **Practice address phone:** (818) 981-6132
- **Mailing address:** 15750 MORRISON ST, ENCINO, CA 91436-1544
- **Mailing address phone:** (818) 981-6132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | L.AC.4569 | CA | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | AC0045690 | — | CA |
| 05 | — | AC0045691 | — | CA |
| 05 | — | AC0045692 | — | CA |