# CANDICE DANESHVAR MD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1912313115
- **Authorized official:** DR. CANDICE SHIRIN DANESHVAR MD (CEO)
- **Authorized official phone:** (310) 274-9978

## Contact information

- **Practice address:** 6310 SAN VICENTE BLVD STE 220, LOS ANGELES, CA 90048-5458
- **Practice address phone:** (310) 274-9978
- **Practice address fax:** (310) 274-0595
- **Mailing address:** 6310 SAN VICENTE BLVD STE 220, LOS ANGELES, CA 90048-5458
- **Mailing address phone:** (310) 274-9978
- **Mailing address fax:** (310) 274-0595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A121462 | CA | Yes |

## Other

- **Enumeration date:** 07/08/2014
- **Last updated:** 03/31/2021