Whalio Doctors

NPI 1154439743

Gholamreza Nagadeh Bonabi, MD

Practitioner Specialist Northridge, CA

Practice location

Address
17075 Devonshire St Suite 300, Northridge, CA 91325-1600
Phone
(818) 368-4212
Fax
(818) 366-9351

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence A46355 (CA)

Registry record

NPI
1154439743
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Aug 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.