Behroozan, Daniel Shahrooz

Behroozan, Daniel Shahrooz is an individual health care provider with primary practice located at 2221 Lincoln Blvd Suite 100, Santa Monica CA 90405-1320. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Behroozan, Daniel Shahrooz can be contacted via phone (310) 392-1111.

Contact Information

Primary practice address
2221 Lincoln Blvd Suite 100 Santa Monica CA 90405-1320
Phone: (310) 392-1111
Fax: (310) 392-1101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A76756 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X A76756 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X A76756 California

Profile Details

NPI number 1851325716
LBN Legal business name Behroozan, Daniel Shahrooz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 18th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851325716 NPPES
California Other 00A767560 MEDI-CAL PPIN
California Other WA76756D MEDI-CAL PPIN

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