Basic Information
Provider Information
NPI: 1083906242
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAJAFI
FirstName: KAVEH
MiddleName: N
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 35 E GLENARM ST
Address2:  
City: PASADENA
State: CA
PostalCode: 911053418
CountryCode: US
TelephoneNumber: 6267684415
FaxNumber: 6264030321
Practice Location
Address1: 1044 S FAIR OAKS AVE
Address2: SUITE 101
City: PASADENA
State: CA
PostalCode: 911052622
CountryCode: US
TelephoneNumber: 6267684415
FaxNumber: 6264030321
Other Information
ProviderEnumerationDate: 05/06/2011
LastUpdateDate: 07/08/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X20A11605CAN Allopathic & Osteopathic PhysiciansSurgery 
2086S0102X20A11605CAN Allopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
2086S0127X20A11605CAY Allopathic & Osteopathic PhysiciansSurgeryTrauma Surgery

No ID Information.


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