Individual
DR. DAN E DARDASHTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12626 RIVERSIDE DR, STE 506, VALLEY VILLAGE, CA 91607-3420
(818) 508-9190
(818) 508-1648
Mailing address
12626 RIVERSIDE DR, STE 506, VALLEY VILLAGE, CA 91607-3420
(818) 508-9190
(818) 508-1648
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A61457
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A614570
—
CA
Enumeration date
06/01/2005
Last updated
07/02/2010
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