Daskivich, Timothy John
Daskivich, Timothy John is an individual health care provider with primary practice located at Chs 66 124 10833 Leconte Ave, Los Angeles CA 90095-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Daskivich, Timothy John can be contacted via phone (310) 206-6766.Contact Information
Primary practice address
Chs 66 124 10833 Leconte Ave
Los Angeles CA 90095-0001
Phone: (310) 206-6766
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | A103871 | California |
Profile Details
| NPI number | 1225278211 |
|---|---|
| LBN Legal business name | Daskivich, Timothy John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2009 |
| Last updated | Nov 6th, 2012 - about 12 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 | 1225278211 | NPPES |
| California | MEDICAID | 1225278211 |
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