Individual
DR. DARYOUSH JAMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2810 E DEL MAR BLVD, SUITE 14, PASADENA, CA 91107-4321
(626) 437-1000
(866) 412-0243
Mailing address
2810 E DEL MAR BLVD, SUITE 14, PASADENA, CA 91107-4321
(626) 437-1000
(866) 412-0243
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
A85105
CA
2084P0800X
Psychiatry Physician
A85105
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A85105
CA
208VP0000X
Pain Medicine Physician
A85105
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A851050
—
CA
Enumeration date
09/15/2006
Last updated
01/18/2015
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