Organization
TAHERI CHANG M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAHERI M.D. (OWNER)
(661) 974-8666
Entity
Organization
Contact information
Practice address
5731 S FORT APACHE RD, SUITE #103, LAS VEGAS, NV 89148-5620
(702) 346-3875
(661) 974-8669
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
(661) 974-8666
(661) 974-8669
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/15/2008
Last updated
06/08/2009
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