Individual
NAVA YEGANEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1245 16TH ST STE 204, SANTA MONICA, CA 90404-1240
(310) 319-4141
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A99936
CA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
A99936
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A999360
—
CA
05
—
1225220205
—
CA
Enumeration date
08/14/2007
Last updated
05/31/2023
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