Dan Dardashti, Md Inc.
LBN: Dan Dardashti, Md Inc.
Dan Dardashti, Md Inc. is an health care organization with primary practice located at 12626 Riverside Dr Suite #506, Valley Village CA 91607-3420. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Dan Dardashti, Md Inc. can be contacted via phone (818) 508-9190, or through Dardashti, Dan Elia via phone (818) 508-9190.
Contact Information
Primary practice address
12626 Riverside Dr Suite #506
Valley Village CA 91607-3420
Phone: (818) 508-9190
Fax: (818) 508-1648
Website:
Authorized official contact:
Name: Dardashti, Dan Elia Doctor of Medicine (MD)
Phone: (818) 508-9190
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A61457 | California |
Profile Details
| NPI number | 1114953643 |
|---|---|
| LBN Legal business name | Dan Dardashti, Md Inc. |
| DBA Doing business as | |
| Authorized official | Dardashti, Dan Elia Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Jul 2nd, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114953643 | NPPES |
| California | Other | 00A614570 | BLUESHIELD |
| California | MEDICAID | 00A614570 | BLUESHIELD |
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