Organization
JALEH NIAZI, M.D., INC.
Active
Other names
New Day Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JALEH NIAZI M.D. (PRESIDENT)
(510) 465-4445
Entity
Organization
Contact information
Practice address
900 COLUSA AVE, 204, BERKELEY, CA 94707-2321
(510) 465-4445
Mailing address
900 COLUSA AVE, 204, BERKELEY, CA 94707-2321
(510) 465-4445
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G79850
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053300988
—
CA
Enumeration date
01/26/2016
Last updated
01/26/2016
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