MEDICARE: PRAKASH NARAIN MD

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	A40903	CA

General Provider Information

NPI Number	:	1699777292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRAKASH NARAIN MD

Provider Business Mailing Address
First Line	:	PO BOX 2685
Second Line	:
City	:	SEAL BEACH
State	:	CA
Zip	:	90740-1685
Country	:	US
Telephone Number	:	562-493-9581
Fax Number	:	562-430-6795

Provider Business Practice Location Address
First Line	:	1661 GOLDEN RAIN RD
Second Line	:
City	:	SEAL BEACH
State	:	CA
Zip	:	90740-1685
Country	:	US
Telephone Number	:	562-493-9581
Fax Number	:	562-430-6795

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	03/03/2009

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