Individual
DR. DARYOUSH JADALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 LYNN RD, SUITE 125, THOUSAND OAKS, CA 91360-1935
(805) 777-7406
(805) 554-4583
Mailing address
PO BOX 7448, THOUSAND OAKS, CA 91359-7448
(805) 643-9781
(800) 564-3878
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
A48921
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A48921
—
CA
Enumeration date
11/13/2006
Last updated
07/09/2007
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