Organization
KOUROSH KEVIN DANESHGAR, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOUROSH KEVIN DANESHGAR M.D (PRESIDENT)
(310) 553-1200
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E STE 507, LOS ANGELES, CA 90067-2008
(310) 553-1200
(310) 553-1216
Mailing address
2080 CENTURY PARK E STE 507, LOS ANGELES, CA 90067-2008
(310) 553-1200
(310) 553-1216
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A647000
INDIVIDUAL PROVIDER #
CA
Enumeration date
12/15/2006
Last updated
02/13/2014
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