MEDICARE: DR. ANAS NAJM

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	122300000X	Dentist	DEN.00202426	CO
2	122300000X	Dentist	6599	NV
3	122300000X	Dentist	DDS100055	CA

General Provider Information

NPI Number	:	1730578428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANAS NAJM

Provider Business Mailing Address
First Line	:	555 FRONT ST UNIT 501
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-6774
Country	:	US
Telephone Number	:	832-330-1296
Fax Number	:

Provider Business Practice Location Address
First Line	:	6475 ALVARADO RD STE 205
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-5013
Country	:	US
Telephone Number	:	832-330-1296
Fax Number	:

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

Provider Enumeration Date	:	01/18/2015
Last Update Date	:	03/17/2018

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