Individual
PAYAM DANESHRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2811 WILSHIRE BLVD, SUITE 800, SANTA MONICA, CA 90403
(310) 306-3737
(310) 306-1240
Mailing address
2811 WILSHIRE BLVD, SUITE 800, SANTA MONICA, CA 90403
(310) 306-3739
(310) 306-1240
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A71327
CA
Other
Enumeration date
01/19/2007
Last updated
06/23/2008
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