# DANIEL TAHERI MD PC

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

## Provider details

- **NPI number:** 1164057816
- **Authorized official:** DANIEL TAHERI (OWNER)
- **Authorized official phone:** (310) 922-1412

## Contact information

- **Practice address:** 340 FALCON RIDGE PKWY STE 202B, MESQUITE, NV 89027-8851
- **Practice address phone:** (702) 703-2380
- **Practice address fax:** (702) 703-2381
- **Mailing address:** PO BOX 16297, BEVERLY HILLS, CA 90209-2297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/03/2020
- **Last updated:** 06/18/2021