Dashtipour, Khashayar

Dashtipour, Khashayar is an individual health care provider with primary practice located at 11370 Anderson St Suite 2400, Loma Linda CA 92354-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Dashtipour, Khashayar can be contacted via phone (909) 558-2880.

Contact Information

Primary practice address
11370 Anderson St Suite 2400 Loma Linda CA 92354-3450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A85250 California

Profile Details

NPI number 1053358457
LBN Legal business name Dashtipour, Khashayar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 15th, 2008 - 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 1053358457 NPPES
California MEDICAID 00A852500

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