Taheri, Daniel
Taheri, Daniel is an sole proprietor health care provider with primary practice located at 10884 Santa Monica Blvd 3Rd Floor, Los Angeles CA 90025-4646. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Taheri, Daniel can be contacted via phone (310) 446-4400.Contact Information
Primary practice address
10884 Santa Monica Blvd 3Rd Floor
Los Angeles CA 90025-4646
Phone: (310) 446-4400
Fax: (310) 446-4408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | G80445 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G80445 | California |
Profile Details
| NPI number | 1992774681 |
|---|---|
| LBN Legal business name | Taheri, Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1992774681 | NPPES |
| California | Other | G80445 | CALIFORNIA MEDICAL LICENSE |
| California | Other | 11900 | CALIFORNIA MEDICAL LICENSE |
| California | Other | 37910 | CALIFORNIA MEDICAL LICENSE |
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