Provider Demographics
NPI:1063511046
Name:NAJLE-RAHIM, MOJDEH (MD)
Entity Type:Individual
Prefix:DR
First Name:MOJDEH
Middle Name:
Last Name:NAJLE-RAHIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MOJDEH
Other - Middle Name:
Other - Last Name:GHADIRI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14244 AVENIDA MUNOZ
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92508-2403
Mailing Address - Country:US
Mailing Address - Phone:951-653-2700
Mailing Address - Fax:951-653-2700
Practice Address - Street 1:3742 TIBBETTS ST
Practice Address - Street 2:SUITE 102
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2602
Practice Address - Country:US
Practice Address - Phone:951-639-3800
Practice Address - Fax:951-639-3800
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA82888174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist