Jadali, Daryoush
Jadali, Daryoush is an sole proprietor health care provider with primary practice located at 2100 Lynn Rd Suite 125, Thousand Oaks CA 91360-1935. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Jadali, Daryoush can be contacted via phone (805) 777-7406.Contact Information
Primary practice address
2100 Lynn Rd Suite 125
Thousand Oaks CA 91360-1935
Phone: (805) 777-7406
Fax: (805) 554-4583
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | A48921 | California |
Profile Details
| NPI number | 1164593802 |
|---|---|
| LBN Legal business name | Jadali, Daryoush |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164593802 | NPPES |
| California | MEDICAID | 00A48921 |
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