Dayyani, Shahrokh
Dayyani, Shahrokh is an individual health care provider with primary practice located at 2635 S Robertson Blvd , Los Angeles CA 90034-2401. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Dayyani, Shahrokh can be contacted via phone (310) 319-6122.Contact Information
Primary practice address
2635 S Robertson Blvd
Los Angeles CA 90034-2401
Phone: (310) 319-6122
Fax: (310) 458-4799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | T10307 | California |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | T10307 | California |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | T10307 | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | T10307 | California |
Profile Details
| NPI number | 1194893008 |
|---|---|
| LBN Legal business name | Dayyani, Shahrokh |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Apr 20th, 2023 - about last year |
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 | 1194893008 | NPPES |
| California | MEDICAID | GSD001450 |
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