MEDICARE: MRS. NAEEMAH HOWELL GHAFUR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A79585	CA

General Provider Information

NPI Number	:	1649292459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NAEEMAH HOWELL GHAFUR M.D.

Provider Business Mailing Address
First Line	:	2707 S CENTRAL AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90011-5527
Country	:	US
Telephone Number	:	323-234-5000
Fax Number	:	323-231-3985

Provider Business Practice Location Address
First Line	:	2707 S CENTRAL AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90011-5527
Country	:	US
Telephone Number	:	323-234-5000
Fax Number	:	323-231-3985

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	07/18/2012

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