Individual
DR. OMID JAFARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2811 WILSHIRE BLVD, SANTA MONICA, CA 90403-4803
(310) 829-9788
(310) 453-1576
Mailing address
2811 WILSHIRE BLVD, SANTA MONICA, CA 90403-4803
(310) 829-9788
(310) 453-1576
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A110476
CA
Other
Enumeration date
01/05/2010
Last updated
10/08/2015
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