Organization
NATHAN A JAVARI DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN AFSHIN JAVARI DPM (CEO)
(323) 231-7745
Entity
Organization
Contact information
Practice address
231 WEST VERNON AVE # 109, LOS ANGELES, CA 90037
(323) 231-7445
Mailing address
231 WEST VERNON AVE # 109, LOS ANGELES, CA 90037
(323) 231-7445
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4456
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E44560
—
CA
Enumeration date
05/29/2007
Last updated
11/14/2012
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