Individual
DR. DANIEL MAYER POURSHALIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1950 SAWTELLE BLVD STE 130, LOS ANGELES, CA 90025-7072
(310) 996-9355
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
298144
NY
207R00000X
Internal Medicine Physician
307532
LA
207R00000X
Internal Medicine Physician
Primary
A128413
CA
208M00000X
Hospitalist Physician
298144
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2459350
—
LA
01
—
A128413
STATE LICENSE
CA
Enumeration date
04/23/2012
Last updated
03/07/2023
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