Individual
DAVID H DANESHVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2609
(310) 603-6586
Mailing address
PO BOX 969096, SAN DIEGO, CA 92196-9096
(858) 495-0971
(858) 495-0991
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A39623
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A39623
MEDICAL LICENSE
CA
Enumeration date
07/08/2006
Last updated
09/17/2010
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