Individual provider · Type 1 NPI

Gholamreza Nagadeh Bonabi, MD

Specialist · Northridge, CA

NPI number 1154439743 Active

Practice location

17075 Devonshire St, Suite 300
Northridge, CA 91325-1600

Call (818) 368-4212 Map

Fax (818) 366-9351

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA46355 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1154439743

Gholamreza Nagadeh Bonabi, MD's National Provider Identifier is 1154439743, issued on Aug 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Northridge, CA. The record was last updated on Jul 8, 2007.