Individual
NAVID DANIEL EGHTERAFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16661 VENTURA BLVD STE 509, ENCINO, CA 91436-4824
(310) 904-9698
Mailing address
16661 VENTURA BLVD STE 509, ENCINO, CA 91436-4824
(310) 904-9698
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
X6H9Y7W6
CA
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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