Organization
NASTARAN RAFIEI, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NASTARAN RAFIEI M.D. (PRESIDENT)
(310) 717-2829
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD STE 680, ENCINO, CA 91436-4321
(818) 268-8410
Mailing address
PO BOX 8956, CALABASAS, CA 91372-8956
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A100901
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100901
CALIFORNIA LICENSE
CA
Enumeration date
02/19/2014
Last updated
02/19/2014
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