Organization
PARVIZ D. DANIELS, M.D.,, F.A.C.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MAYER (OFFICE MANAGER)
(323) 933-7571
Entity
Organization
Contact information
Practice address
6221 WILSHIRE BLVD, SUITE 205, LOS ANGELES, CA 90048-5201
(323) 933-7571
Mailing address
6221 WILSHIRE BLVD, SUITE 205, LOS ANGELES, CA 90048-5201
(323) 933-7571
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A36510
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A365100
MEDICAL
CA
Enumeration date
12/31/2007
Last updated
03/05/2008
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