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Organization
MAURICE DARVISH, MD
Active
Organization
MAURICE DARVISH, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE DARVISH M.D. (M.D.)
(310) 820-0013
Entity
Organization
Contact information
Practice address
11611 SAN VICENTE BLVD, LOS ANGELES, CA 90049-5106
(310) 820-0013
(310) 207-2630
Mailing address
11611 SAN VICENTE BLVD, LOS ANGELES, CA 90049-5106
(310) 820-0013
(310) 207-2630
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A42393
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A423930
—
CA
Enumeration date
10/21/2008
Last updated
10/21/2008
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