Organization
DANIEL TAHERI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAHERI (OWNER)
(310) 922-1412
Entity
Organization
Contact information
Practice address
5550 PAINTED MIRAGE RD STE 200, LAS VEGAS, NV 89149-4592
(702) 747-4406
(702) 747-4408
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
06/18/2021
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