Provider Demographics
NPI:1437383064
Name:NAFISSI, ARASH (DO)
Entity Type:Individual
Prefix:
First Name:ARASH
Middle Name:
Last Name:NAFISSI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2888 LONG BEACH BLVD
Mailing Address - Street 2:STE. 210
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1530
Mailing Address - Country:US
Mailing Address - Phone:949-588-7246
Mailing Address - Fax:949-272-3746
Practice Address - Street 1:2888 LONG BEACH BLVD
Practice Address - Street 2:210
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1530
Practice Address - Country:US
Practice Address - Phone:949-588-7246
Practice Address - Fax:949-272-3746
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
CA20A127932081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program