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NPI Code Detail

MEDICARE: MR. BIJAN DANESHGAR MD

MEDICARE: MR. BIJAN DANESHGAR MD
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
1207V00000XObstetrics & Gynecology PhysicianA30971CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467465344
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BIJAN DANESHGAR MD
Provider Business Mailing Address
First Line : 16500 VENTURA BLVD
Second Line : STE 222
City : ENCINO
State : CA
Zip : 91436-2011
Country : US
Telephone Number : 818-905-6111
Fax Number : 818-905-3250
Provider Business Practice Location Address
First Line : 16500 VENTURA BLVD
Second Line : STE 222
City : ENCINO
State : CA
Zip : 91436-2011
Country : US
Telephone Number : 818-905-6111
Fax Number : 818-905-3250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 07/08/2007

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