Individual
DANIEL DAVID ESHTIAGHPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 MED PLAZA SUITE 365, 420, 120, LOS ANGELES, CA 90095
(818) 461-8148
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A122301
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/22/2011
Last updated
08/01/2018
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