Dardashti, Behrouz Elia
Dardashti, Behrouz Elia is an individual health care provider with primary practice located at 5363 Balboa Blvd #546, Encino CA 91316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dardashti, Behrouz Elia can be contacted via phone (818) 995-6003.Contact Information
Primary practice address
5363 Balboa Blvd #546
Encino CA 91316
Phone: (818) 995-6003
Fax: (818) 995-3862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A38320 | California |
Profile Details
| NPI number | 1427118355 |
|---|---|
| LBN Legal business name | Dardashti, Behrouz Elia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427118355 | NPPES |
| California | MEDICAID | 00A38370 |
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