Organization
AZAR DANESHBOD MD MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AZAR DANESHBOD M.D. (PRESIDENT)
(562) 799-3132
Entity
Organization
Contact information
Practice address
1633 ERRINGER RD, 1ST FLOOR, SIMI VALLEY, CA 93065-3583
(805) 578-8300
(805) 578-0414
Mailing address
1633 ERRINGER RD, 1ST FLOOR, SIMI VALLEY, CA 93065-3583
(805) 578-8300
(805) 578-0414
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF337066
CA
Other
Enumeration date
03/03/2009
Last updated
04/13/2009
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