Organization
DANIEL GHIYAM M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GHIYAM M D (PRESIDENT)
(805) 526-8360
Entity
Organization
Contact information
Practice address
2840 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-3937
(805) 526-8360
Mailing address
2840 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-3937
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A75370
CA
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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