Provider Demographics
NPI:1104507128
Name:NAVID, ADIL
Entity type:Individual
Prefix:
First Name:ADIL
Middle Name:
Last Name:NAVID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9025 WILSHIRE BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1825
Mailing Address - Country:US
Mailing Address - Phone:213-474-1910
Mailing Address - Fax:888-858-4059
Practice Address - Street 1:9025 WILSHIRE BLVD STE 203
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1825
Practice Address - Country:US
Practice Address - Phone:213-474-1910
Practice Address - Fax:888-858-4059
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical