Doctor Name: | DR. MOHAMAD DJAVAD NAFICY |
NPI Number: | 1306920194 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C51746 |
Business Practice Address: | 9107 Wilshire Blvd Suite 200 Beverly Hills, CA - 902105531 |
Business Phone Number: | 3109093916 |
Business Fax Number: | 3102460099 |
Mailing Address: | Po Box 5360, Suite 200 BEVERLY HILLS |
State: | CA |
Postal Code: | 902095360 |
Phone Number: | 3109093916 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | C51746 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |