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NPI Code Detail

MEDICARE: DR. REZA NARAGHI D.P.M.

MEDICARE: DR. REZA NARAGHI D.P.M.
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
1213E00000XPodiatristE4399CA

General Provider Information

NPI Number : 1083644207
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REZA NARAGHI D.P.M.
Provider Business Mailing Address
First Line : 5995 TOPANGA CANYON BLVD
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-3623
Country : US
Telephone Number : 818-880-0833
Fax Number : 818-340-9241
Provider Business Practice Location Address
First Line : 5995 TOPANGA CANYON BLVD
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-3623
Country : US
Telephone Number : 818-880-0833
Fax Number : 818-340-9241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 07/08/2007

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