Doctor Name: | DR. JOHN N. MAFI |
NPI Number: | 1063649465 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A137497 |
Business Practice Address: | 200 Medical Plz Suite 365 Los Angeles, CA - 900950001 |
Business Phone Number: | 3107942280 |
Business Fax Number: | |
Mailing Address: | 5767 W Century Blvd, Suite 400 LOS ANGELES |
State: | CA |
Postal Code: | 900455631 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/12/2009 |
NPI Last Update Date: | 10/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A137497 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |