Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A42217 | CA |
Y | 111NI0900X | Internist | A42217 | CA |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | A42217 | CA |
N | 207RG0300X | Geriatric Medicine | A42217 | CA |
NPI | 1013929918 |
---|---|
Provider Name | Dr. Darius Gharib |
First Address | Encino, CA 91436-2403 |
Second Address | Encino, CA 91436-2403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 07/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A422170 | (05) | CA |
E01655 | (02) | CA |