Organization
KASRA NAVABI MD
Active
Organization
KASRA NAVABI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KASRA NAVABI (OWNER)
(650) 576-9944
Entity
Organization
Contact information
Practice address
3217 N VERDUGO RD, #2, GLENDALE, CA 91208-1672
(818) 550-0702
(818) 550-0705
Mailing address
3217 N VERDUGO RD, #2, GLENDALE, CA 91208-1672
(818) 550-0702
(818) 550-0705
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CA116768
CA
261Q00000X
Clinic/Center
MD2012-0589
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A116768
MEDICAL BOARD OF CALIFORNIA
CA
01
—
MD2012-0589
NEW MEXICO MEDICAL BOARD
NM
Enumeration date
12/26/2014
Last updated
05/01/2015
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