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Individual

MR. NOUROLLAH DANIALYPOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5708 WATT AVENUE, NORTH HIGHLANDS, CA 95660
(916) 344-8866
(916) 344-3979
Mailing address
5708 WATT AVENUE, NORTH HIGHLANDS, CA 95660
(916) 344-8866
(916) 344-3979

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
00A411140
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A411140
CA STATE LICENSE
05
8624117
CA
Enumeration date
11/17/2006
Last updated
05/15/2018
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