Individual
MR. EHSAN ESI DAYANIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
540 N CENTRAL AVE, #203, GLENDALE, CA 91203-1916
(818) 500-7113
(818) 500-7013
Mailing address
15750 MORRISON ST, ENCINO, CA 91436-1544
(818) 981-6132
(818) 500-7013
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4569
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AC0045690
—
CA
01
—
AC0045691
45691
CA
01
—
AC0045692
45692
CA
Enumeration date
07/09/2006
Last updated
07/08/2007
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