Provider Demographics
NPI:1225121502
Name:NEJAT-BINA, DAVID (MD, FACS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:NEJAT-BINA
Suffix:
Gender:M
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8929
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92822-5929
Mailing Address - Country:US
Mailing Address - Phone:714-520-3131
Mailing Address - Fax:714-520-3133
Practice Address - Street 1:410 W CENTRAL AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-3014
Practice Address - Country:US
Practice Address - Phone:714-520-3131
Practice Address - Fax:714-520-3133
Is Sole Proprietor?:No
Enumeration Date:2006-10-01
Last Update Date:2011-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG80039208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG80039Medicare UPIN