=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265574172
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HOSSEIN ALKHORSAN NAJAFI M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/14/2007
-----------------------------------------------------
Last Update Date | 06/18/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 28901 S. WESTERN AVE. #127
-----------------------------------------------------
City | RANCHO PALOS VERDES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90275-0824
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-514-2511
-----------------------------------------------------
Fax | 310-514-2449
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 28901 S. WESTERN AVE #127
-----------------------------------------------------
City | RANCHO PALOS VERDES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90275-0824
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-514-2511
-----------------------------------------------------
Fax | 310-514-2449
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | A37763
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 208200000X
-----------------------------------------------------
Taxonomy Name | Plastic Surgery Physician
-----------------------------------------------------
License Number | A37763
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------