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Individual

MICHAEL NADZHAFOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1141 N BRAND BLVD, STE. 300, GLENDALE, CA 91202-2511
(818) 546-1500
(818) 546-1501
Mailing address
11999 SAN VICENTE BLVD, #440, LOS ANGELES, CA 90049-5131
(310) 471-5852
(310) 472-9582

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
19506

Other

Enumeration date
04/10/2009
Last updated
05/12/2009
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