Individual
SAM F DANESHVARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 WILSON TER, SUITE #155, GLENDALE, CA 91206-4071
(818) 500-4055
(818) 500-4065
Mailing address
1505 WILSON TER, SUITE #155, GLENDALE, CA 91206-4071
(818) 500-4055
(818) 500-4065
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A60891
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A608910
—
CA
Enumeration date
09/13/2006
Last updated
09/02/2014
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