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Individual

SHAUN S DANESHRAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8920 WILSHIRE BLVD, SUITE 420, BEVERLY HILLS, CA 90211-2007
(310) 345-4145
Mailing address
PO BOX 2054, BEVERLY HILLS, CA 90213-2054

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G70241
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G702410
CA
Enumeration date
05/12/2006
Last updated
02/16/2011
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