Individual
DR. DANIEL KHAKSHOOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
25775 MCBEAN PKWY STE 215, VALENCIA, CA 91355-3703
(805) 644-9121
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A173916
CA
207Q00000X
Family Medicine Physician
T-3592
MS
Other
Enumeration date
07/01/2018
Last updated
12/10/2021
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