Organization
AZAR DANESHBOD MD MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZAR DANESHBOD MD (PRESIDENT)
(562) 799-3132
Entity
Organization
Contact information
Practice address
3751 KATELLA AVE, LOS ALAMITOS, CA 90720-3101
(562) 799-3132
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0093921
—
CA
01
—
HW14237
MEDICARE
CA
Enumeration date
03/29/2006
Last updated
10/06/2016
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