1801185095 NPI number — DANNY ZAGHI MD

Table of content: DANNY ZAGHI MD (NPI 1801185095)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801185095 NPI number — DANNY ZAGHI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZAGHI
Provider First Name:
DANNY
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801185095
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/17/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8510 BALBOA BLVD
Provider Second Line Business Mailing Address:
STE 150
Provider Business Mailing Address City Name:
NORTHRIDGE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91325-3583
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-637-2000
Provider Business Mailing Address Fax Number:
818-654-3417

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1500 S CENTRAL AVE
Provider Second Line Business Practice Location Address:
STE 200
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91204-2530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-254-1500
Provider Business Practice Location Address Fax Number:
818-244-4830
Provider Enumeration Date:
03/29/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  A131674 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1801185095 . This is a "MEDI CAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com