Individual
MICHAEL E DAMAVANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18460 ROSCOE BLVD FL 3, NORTHRIDGE, CA 91325-4107
(818) 885-5480
(818) 993-1917
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
20A8697
CA
Other
Enumeration date
07/28/2006
Last updated
08/22/2023
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