Organization
PAVILLION ASC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOSSEIN A NAJAFI M.D. (PRESIDENT/CEO)
(310) 514-2511
Entity
Organization
Contact information
Practice address
28901 S. WESTERN AVENUE #127, RANCHO PALOS VEREDES, CA 90275
(310) 514-2511
(310) 514-2449
Mailing address
P.O. BOX 9225, CALABASAS, CA 91372
(310) 514-2511
(310) 514-2449
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
A37763
CA
208200000X
Plastic Surgery Physician
Primary
A37763
CA
208D00000X
General Practice Physician
A37763
CA
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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