Maurice Darvish, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

A42393 Issued in CA

Legal business name

MAURICE DARVISH, MD

Practice address

11611 San Vicente Blvd
Los Angeles, CA 90049-5106

Phone

(310) 820-0013

Fax

(310) 207-2630

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Maurice Darvish, M.D.

Title

M.D.

Phone

(310) 820-0013

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1164674115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11611 SAN VICENTE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495106",
            "telephone_number": "310-820-0013",
            "fax_number": "310-207-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11611 SAN VICENTE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495106",
            "telephone_number": "310-820-0013",
            "fax_number": "310-207-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE DARVISH, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "DARVISH",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "310-820-0013",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A42393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A423930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Allison Mauer, M. D.
• Emily Ann Mauldin
• Maung Ni Medical Inc.
• Barry James Maurer, MD
• Eva Maurer
• Maurice Elihu MD Inc.
• Maurice Firouz, D.D.S., Inc.
• Maurice K. Masliah, DDS, a Professional Corporation
• Maurice Levy, M.D. Inc
• Xesenia Maurice

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.