Provider Demographics
NPI:1407119738
Name:NAJI, WISAM S (MD)
Entity Type:Individual
Prefix:DR
First Name:WISAM
Middle Name:S
Last Name:NAJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9602
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91346-9602
Mailing Address - Country:US
Mailing Address - Phone:818-837-5559
Mailing Address - Fax:818-792-4793
Practice Address - Street 1:23803 MCBEAN PKWY #202
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2302
Practice Address - Country:US
Practice Address - Phone:661-481-2400
Practice Address - Fax:661-579-8461
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2019-08-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2015020989208M00000X
CA142592207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist