Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 37388 | CA |
Y | 213EG0000X | General Practice | 37388 | CA |
NPI | 1003953282 |
---|---|
Provider Name | Dr. Behzad Daniel Binafard SR. |
First Address | Beverly Hills, CA 90210-2611 |
Second Address | Huntington Park, CA 90255-4783 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 08/07/2007 |