Individual
DANIEL GHIYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2840 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-3937
(805) 526-8360
(805) 526-1438
Mailing address
2840 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-3937
(805) 526-8360
(805) 526-1438
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A75370
CA
Other
Enumeration date
09/30/2005
Last updated
03/01/2010
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