Daneshvar, Samuel A
Daneshvar, Samuel A is an individual health care provider with primary practice located at 2020 Santa Monica Blvd Suite 220, Santa Monica CA 90404-2023. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Daneshvar, Samuel A can be contacted via phone (310) 595-5216.Contact Information
Primary practice address
2020 Santa Monica Blvd Suite 220
Santa Monica CA 90404-2023
Phone: (310) 595-5216
Fax: (310) 582-6222
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A98722 | California |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A98722 | California |
Profile Details
NPI number | 1699940494 |
---|---|
LBN Legal business name | Daneshvar, Samuel A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 23rd, 2008 |
Last updated | Feb 6th, 2014 - about 10 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 | 1699940494 | NPPES |
California | MEDICAID | 1699940494 | |
California | Other | 1699940494 |
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