Provider Demographics
NPI:1154374163
Name:NAFTULIN, GENE ARMON (MD)
Entity type:Individual
Prefix:DR
First Name:GENE
Middle Name:ARMON
Last Name:NAFTULIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:23600 TELO AVE
Mailing Address - Street 2:STE 2200
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505
Mailing Address - Country:US
Mailing Address - Phone:310-534-8400
Mailing Address - Fax:310-534-0463
Practice Address - Street 1:23600 TELO AVE
Practice Address - Street 2:STE 2200
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505
Practice Address - Country:US
Practice Address - Phone:310-534-8400
Practice Address - Fax:310-534-0463
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOG27858208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A43521Medicare UPIN
CAW11165Medicare ID - Type Unspecified