Dr. Sid Abraham Danesh
Dermatologist
316 E Las Tunas Dr Suite 103
San Gabriel
, California 91776-1535
Dr. Sid Abraham Danesh
Dermatologist
316 E Las Tunas Dr Suite 103
San Gabriel
, California 91776-1535
(626) 287-2982
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Sid Abraham Danesh
- 316 E Las Tunas Dr Suite 103
- San Gabriel, CA
- Zip : 91776-1535
- Fax : (626) 287-2982
- Phone : (626) 287-9949
Second Address
- Dr. Sid Abraham Danesh
- 316 E Las Tunas Dr Suite 103
- San Gabriel, CA
- Zip : 91776-1535
- Fax : (626) 287-2982
- Phone : (626) 287-9949
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | A39428 | CA |
National Provider Identifier
| NPI | 1063447134 |
|---|---|
| Provider Name | Dr. Sid Abraham Danesh |
| First Address | San Gabriel, CA 91776-1535 |
| Second Address | San Gabriel, CA 91776-1535 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A394280 | (05) | CA |
| B47224 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.