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NPI Code Detail

MEDICARE: ROD NAJIBI

MEDICARE:   ROD  NAJIBI
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
1122300000XDentist64505CA

General Provider Information

NPI Number : 1063891513
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROD NAJIBI
Provider Business Mailing Address
First Line : 1512 S CENTINELA AVE APT 8
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-3638
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1512 S CENTINELA AVE APT 8
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-3638
Country : US
Telephone Number : 310-266-9567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2015
Last Update Date : 03/12/2021

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Directions to “ ROD NAJIBI ” Practice Location

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