Provider Demographics
NPI:1740757574
Name:JAMES A. DANIELZADEH MD
Entity Type:Organization
Organization Name:JAMES A. DANIELZADEH MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:DANIELZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-881-5661
Mailing Address - Street 1:18370 BURBANK BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2855
Mailing Address - Country:US
Mailing Address - Phone:818-881-5661
Mailing Address - Fax:818-881-6132
Practice Address - Street 1:18370 BURBANK BLVD STE 209
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2855
Practice Address - Country:US
Practice Address - Phone:818-881-5661
Practice Address - Fax:818-881-6132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty