{"npi":"1760544639","type":"NPI-2","status":"active","name":{"display":"Daniel Behroozan MD A Medical Corporation","other":[],"organization_name":"DANIEL BEHROOZAN MD A MEDICAL CORPORATION","authorised_official":"Daniel Behroozan"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207ND0101X","description":"Dermatology, Mohs Surgery","primary":false,"state":"CA","license":"A76756"},{"code":"207NS0135X","description":"Procedural Dermatology Physician","primary":false,"state":"CA","license":"A76756"},{"code":"207N00000X","description":"Dermatology","primary":true,"state":"CA","license":"A76756"}]},"addresses":[{"purpose":"LOCATION","street_1":"2221 LINCOLN BLVD","city":"SANTA MONICA","state":"CA","postal_code":"904051320","country_code":"US","street_2":"#100","phone":"3103921111","fax":"3103921101"},{"purpose":"MAILING","street_1":"2221 LINCOLN BLVD","city":"SANTA MONICA","state":"CA","postal_code":"904051320","country_code":"US","street_2":"#100","phone":"3103921111"}],"license":{"state":"CA","number":"A76756"},"identifiers":[{"type_code":"01","label":"Other","value":"W20251","state":"CA","issuer":"MEDICARE GROUP ID"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20070102000489","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"2769482447"}]},"enumeration_date":"2006-12-15","last_updated":"2025-06-09","_meta":{"source":"NPPES","snapshot_date":"2025-06-09","doc_url":"https://findmynpi.com/api"}}