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Alan Darush, M.D., A Professional Corporation

Internal Medicine in Northridge, CA. Organization (NPI-2).

NPI number1669501409
StatusActive
Last updated in NPPESDec 11, 2014

Details

NPI
1669501409
Entity type
Organization (NPI-2)
Legal business name
Alan Darush, M.D., A Professional Corporation
Organization subpart
No
Enumeration date
Mar 5, 2007
Last updated
Dec 11, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineA84425CAYes

Practice location

8540 Reseda Blvd # 103
Northridge, CA 91324-4628

Phone 818-280-0700

Mailing address

Po Box 77790
Corona, CA 92877-0126

Phone 800-624-2468 · Fax 951-272-9924

Authorized official

Alan Darush
Owner
8182800700

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