Individual
DR. ALAN DARUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8540 RESEDA BLVD, SUITE 103, NORTHRIDGE, CA 91324-4628
(818) 280-0700
(818) 993-6900
Mailing address
PO BOX 77790, CORONA, CA 92877-0126
(818) 280-0700
(818) 993-6900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A84425
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A84425
STATE LISENCE
CA
Enumeration date
02/28/2006
Last updated
11/14/2014
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