Individual
REZA DANESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10931 CHERRY ST, SUITE 200, LOS ALAMITOS, CA 90720-2496
(562) 497-9229
Mailing address
10931 CHERRY ST, SUITE 200, LOS ALAMITOS, CA 90720-2496
(562) 497-9229
(562) 431-0108
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A055334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A55334
—
CA
Enumeration date
09/15/2006
Last updated
07/25/2013
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