Healthy Herts Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A66698 Issued in CA

Legal business name

HEALTHY HERTS MEDICAL GROUP INC

Practice address

10745 Riverside Dr
A
Toluca Lake, CA 91602-2371

Phone

(310) 930-0555

Fax

(818) 899-5969

NPI assigned

Oct 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daryoush Y Kashani, M.D.

Title

President

Phone

(310) 930-0555

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1063663904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18653 VENTURA BLVD",
            "address_2": "289",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564103",
            "telephone_number": "310-930-0555",
            "fax_number": "818-899-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10745 RIVERSIDE DR",
            "address_2": "A",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022371",
            "telephone_number": "310-930-0555",
            "fax_number": "818-899-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HERTS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "KASHANI",
        "authorized_official_first_name": "DARYOUSH",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-930-0555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A66698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Toluca Lake, CA
• Providers in Toluca Lake, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.