Individual
DR. SID ABRAHAM DANESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
316 E LAS TUNAS DR, SUITE 103, SAN GABRIEL, CA 91776-1535
(626) 287-9949
(626) 287-2982
Mailing address
316 E LAS TUNAS DR, SUITE 103, SAN GABRIEL, CA 91776-1535
(626) 287-9949
(626) 287-2982
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A39428
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A394280
—
CA
Enumeration date
07/11/2006
Last updated
07/08/2007
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