Justin Albert Daneshrad
Internal Medicine in Beverly Hills, CA. Individual provider (NPI-1).
NPI number1164058038
StatusActive
Last updated in NPPESSep 14, 2026
Details
- NPI
- 1164058038
- Entity type
- Individual (NPI-1)
- Name
- Justin Albert Daneshrad
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2020
- Certification date
- Sep 14, 2026
- Last updated
- Sep 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A181830 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
9100 Wilshire Blvd Ste 852wBeverly Hills, CA 90212-3464
Phone 310-652-5210 · Fax 310-652-5211
Mailing address
Po Box 2054Beverly Hills, CA 90213-2054
Phone 310-880-7042
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