Individual
DALJIT MAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5014 CHESEBRO RD., 2ND FLOOR, AGOURA HILLS, CA 91301-4232
(818) 706-9300
(818) 707-2672
Mailing address
5014 CHESEBRO RD., 2ND FLOOR, AGOURA HILLS, CA 91301-4232
(818) 706-9300
(818) 707-2672
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C50502
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C505020
—
CA
Enumeration date
08/01/2006
Last updated
01/09/2008
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