Individual
ANIL DAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 WESTLAKE BLVD, SUITE 231, WESTLAKE VILLAGE, CA 91361-1929
(805) 446-4444
(805) 371-9239
Mailing address
32144 AGOURA RD STE 206, WESTLAKE VILLAGE, CA 91361-4051
(805) 371-4820
(805) 371-4824
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A49628
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A496280
BLUE SHIELD
CA
01
—
A49628
PIN
CA
01
—
CB217229
MEDICARE GROUP PTAN
CA
Enumeration date
03/20/2006
Last updated
10/10/2017
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