Physician Compare National (NPI:1124174560)

HEALTHCARE PROVIDER: SEPEHR NOWFAR M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1124174560
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789854381
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110908001782
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NOWFAR
	Individual professional last name
Provider First Name	SEPEHR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TULANE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PALETZ AGATSTEIN UROLOGY MEDICAL GRP INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2769442987
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	6
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	575 E HARDY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 215
	Group Practice or individual's line 2 address
City	INGLEWOOD
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	903014041
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3106733333
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050551
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LOS ALAMITOS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050581
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LAKEWOOD REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050393
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PIH HOSPITAL - DOWNEY
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	M