1710287032 NPI number — MOHAMMAD R NAGHIBI P.A.-C

Table of content: MOHAMMAD R NAGHIBI P.A.-C (NPI 1710287032)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710287032 NPI number — MOHAMMAD R NAGHIBI P.A.-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NAGHIBI
Provider First Name:
MOHAMMAD
Provider Middle Name:
R
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
P.A.-C
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710287032
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/05/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9601 WILSHIRE BLVD
Provider Second Line Business Mailing Address:
SUITE 1170
Provider Business Mailing Address City Name:
BEVERLY HILLS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90210-5213
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-642-7774
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9601 WILSHIRE BLVD
Provider Second Line Business Practice Location Address:
SUITE 1170
Provider Business Practice Location Address City Name:
BEVERLY HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90210-5213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-642-7774
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/02/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  PA21295 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PA21295 . This is a "PHYSICIAN ASSISTANT COMMITTEE, MEDICAL BOARD OF CALIFORNIA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com