Healthy Herts Medical Group Inc

NPI 1063663904 - Family Medicine - 207Q00000X

NPI Details
NPI 1063663904
Enumeration Date 10/09/2008
Last Updated 10/09/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DARYOUSH Y DARYOUSH
Position PRESIDENT
Phone (310) 930-0555
Fax (818) 899-5969
Practice Location
10745 RIVERSIDE DR
A
TOLUCA LAKE CA, 91602-2371, US
Phone (310) 930-0555
Fax (818) 899-5969
Business Location
18653 VENTURA BLVD
289
TARZANA CA, 91356-4103, US
Phone (310) 930-0555
Fax (818) 899-5969
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A66698
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According to our database, Healthy Herts Medical Group Inc NPI is 1063663904, taxonomy code is 207Q00000X and license number is A66698, license state is located at California. Healthy Herts Medical Group Inc physically located at 10745 Riverside Dr, Toluca Lake CA, 91602-2371. NPI Number 1033115704 has the healthcare provider type.

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1063663904 NPI number is provided on an as is basis without warranty of any kind. 1063663904 is maintained by the National Plan & Provider Enumeration System. The contents of Healthy Herts Medical Group Inc are for informational purposes only.