MEDICARE: DANIEL KHARRAZI MD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	G 083471	CA

General Provider Information

NPI Number	:	1184886954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL KHARRAZI MD INC

Provider Business Mailing Address
First Line	:	PO BOX 18058
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90209-4058
Country	:	US
Telephone Number	:	310-275-5400
Fax Number	:	310-275-5410

Provider Business Practice Location Address
First Line	:	9231 W OLYMPIC BLVD STE 150
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-4658
Country	:	US
Telephone Number	:	310-275-5400
Fax Number	:	310-275-5410

Authorized Official
Title or Position	:	PRESIDENT
Name	:	F. DANIEL KHARRAZI
Credential	:	MD
Telephone Number	:	310-275-5400

Provider Enumeration Date	:	07/01/2008
Last Update Date	:	03/16/2018

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