Healthcare Provider Details

I. General information

NPI: 1154513463
Provider Name (Legal Business Name): DAN ZION MUHTAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2007
Last Update Date: 04/12/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14850 ROSCOE BLVD
PANORAMA CITY CA
91402-4618
US

IV. Provider business mailing address

321 N PASS AVE STE 200
BURBANK CA
91505-3859
US

V. Phone/Fax

Practice location:
  • Phone: 310-420-4791
  • Fax:
Mailing address:
  • Phone: 310-420-4791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA106152
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: