Individual
DR. SAMMY DANIEL, DAVID EGHBALIEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19950 RINALDI ST # 101D, PORTER RANCH, CA 91326-4141
(747) 999-6827
(818) 350-0555
Mailing address
1530 CAMDEN AVE, SUITE 403, LOS ANGELES, CA 90025-8010
(310) 991-7266
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A133688
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2008
Last updated
07/21/2022
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