Provider Demographics
NPI:1932087160
Name:DANIALZADEH, DONYA PARAND (CNS, MS)
Entity type:Individual
Prefix:
First Name:DONYA
Middle Name:PARAND
Last Name:DANIALZADEH
Suffix:
Gender:F
Credentials:CNS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10390 WILSHIRE BLVD APT 508
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-6406
Mailing Address - Country:US
Mailing Address - Phone:310-801-0244
Mailing Address - Fax:
Practice Address - Street 1:10390 WILSHIRE BLVD APT 508
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-6406
Practice Address - Country:US
Practice Address - Phone:310-801-0244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19016133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist