Provider Demographics
NPI:1124403951
Name:NAVARRO RESEARCH GROUP, LLC
Entity Type:Organization
Organization Name:NAVARRO RESEARCH GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAKIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MOAHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-861-5314
Mailing Address - Street 1:2452 FENTON ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910
Mailing Address - Country:US
Mailing Address - Phone:619-450-1524
Mailing Address - Fax:619-479-6726
Practice Address - Street 1:2452 FENTON ST
Practice Address - Street 2:SUITE 101
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910
Practice Address - Country:US
Practice Address - Phone:619-450-2152
Practice Address - Fax:619-479-6726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-22
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service