Provider Demographics
NPI:1235712241
Name:NAGHIEH, ALASTAIR
Entity Type:Individual
Prefix:
First Name:ALASTAIR
Middle Name:
Last Name:NAGHIEH
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 1:820 PALOMAR RD
Mailing Address - Street 2:
Mailing Address - City:SAN MARINO
Mailing Address - State:CA
Mailing Address - Zip Code:91108-1520
Mailing Address - Country:US
Mailing Address - Phone:818-297-7771
Mailing Address - Fax:
Practice Address - Street 1:820 PALOMAR RD
Practice Address - Street 2:
Practice Address - City:SAN MARINO
Practice Address - State:CA
Practice Address - Zip Code:91108-1520
Practice Address - Country:US
Practice Address - Phone:818-297-7771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant