Watt Avenue Medical Clinic

NPI #1124218979 in North Highlands, California

Provider Information

NPI Number: 1124218979
Entity Type: Organization
Organization Name: Watt Avenue Medical Clinic
Primary Specialty: General Practice
Enumeration Date: Jul 27, 2007
Last Updated: Dec 14, 2010

Practice Location

Address: 5710 WATT AVE
City: North Highlands
State: California
ZIP Code: 95660-4752
Phone: (916) 344-8866

Authorized Official

Name: DR. NOUROLLAH DANIALYPOUR, M.D.
Title: OWNER
Phone: (916) 344-8866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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