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1427154038 NPI number — DARYOUSH JAMAL M.D.

NPI Number: 1427154038
Health Care Provider/Practitioner: DARYOUSH JAMAL M.D.

Information about “1427154038” NPI (DARYOUSH JAMAL M.D.) exists in 1427154038 in HTML format HTML  |  1427154038 in plain Text format TXT  |  1427154038 in PDF (Portable Document Format) PDF  |  1427154038 in an XML format XML  formats.

NPI Number : 1427154038 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427154038",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JAMAL",
    "FirstName": "DARYOUSH",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2810 E DEL MAR BLVD",
    "SecondLineMailingAddress": "SUITE 14",
    "MailingAddressCityName": "PASADENA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91107-4321",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-437-1000",
    "MailingAddressFaxNumber": "866-412-0243",
    "FirstLinePracticeLocationAddress": "2810 E DEL MAR BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 14",
    "PracticeLocationAddressCityName": "PASADENA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91107-4321",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "626-437-1000",
    "PracticeLocationAddressFaxNumber": "866-412-0243",
    "EnumerationDate": "09/15/2006",
    "LastUpdateDate": "01/18/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2084P0804X",
          "TaxonomyName": "Child & Adolescent Psychiatry Physician",
          "LicenseNumber": "A85105",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "A85105",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RA0401X",
          "TaxonomyName": "Addiction Medicine (Internal Medicine) Physician",
          "LicenseNumber": "A85105",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208VP0000X",
          "TaxonomyName": "Pain Medicine Physician",
          "LicenseNumber": "A85105",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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