Individual
KOUROSH K DANESHGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8679 W PICO BLVD, LOS ANGELES, CA 90035-2315
(310) 553-1200
(310) 553-1216
Mailing address
8679 W PICO BLVD, LOS ANGELES, CA 90035-2315
(310) 553-1200
(310) 553-1216
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A64700
CA
Other
Enumeration date
10/27/2006
Last updated
01/05/2022
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