Organization
CANDICE DANESHVAR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDICE SHIRIN DANESHVAR MD (CEO)
(310) 274-9978
Entity
Organization
Contact information
Practice address
6310 SAN VICENTE BLVD STE 220, LOS ANGELES, CA 90048-5458
(310) 274-9978
(310) 274-0595
Mailing address
6310 SAN VICENTE BLVD STE 220, LOS ANGELES, CA 90048-5458
(310) 274-9978
(310) 274-0595
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A121462
CA
Other
Enumeration date
07/08/2014
Last updated
03/31/2021
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