NPIMap

Organization Active NPI

Azar Daneshbod MD Medical Corporation

  • Clinical Medical Laboratory
  • Simi Valley, CA
National Provider Identifier
1285874206
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF337066 Issued in CA
Legal business name
AZAR DANESHBOD MD MEDICAL CORPORATION
Practice address
1633 Erringer Rd
1St Floor
Simi Valley, CA 93065-3583
Phone
(805) 578-8300
Fax
(805) 578-0414
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Mrs. Azar Daneshbod, M.D.
Title
President
Phone
(562) 799-3132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF337066 CA Primary

Addresses

Primary practice location

1633 Erringer Rd
1St Floor
Simi Valley, CA 93065-3583

Mailing address

1633 Erringer Rd
1St Floor
Simi Valley, CA 93065-3583
Phone (805) 578-8300

National Provider Directory

National Provider Directory
Tax ID family
Azar Daneshbod MD Medical Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1285874206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 ERRINGER RD",
            "address_2": "1ST FLOOR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653583",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 ERRINGER RD",
            "address_2": "1ST FLOOR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653583",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZAR DANESHBOD MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "DANESHBOD",
        "authorized_official_first_name": "AZAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-799-3132",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF337066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.