Healthcare Provider Details

I. General information

NPI: 1740330554
Provider Name (Legal Business Name): MOHAMMAD DAOOD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 W MAGNOLIA BLVD STE 145
BURBANK CA
91506-1753
US

IV. Provider business mailing address

2211 W MAGNOLIA BLVD # 145
BURBANK CA
91506-1753
US

V. Phone/Fax

Practice location:
  • Phone: 818-846-2900
  • Fax: 818-846-2078
Mailing address:
  • Phone: 818-846-2900
  • Fax: 818-846-2078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA25816
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: