Provider Demographics
NPI:1578883997
Name:NAJI, FIRAS (DO)
Entity Type:Individual
Prefix:DR
First Name:FIRAS
Middle Name:
Last Name:NAJI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17595 HARVARD AVE STE C803
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-8516
Mailing Address - Country:US
Mailing Address - Phone:949-981-5033
Mailing Address - Fax:
Practice Address - Street 1:17595 HARVARD AVE STE C-803
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-8516
Practice Address - Country:US
Practice Address - Phone:949-981-5033
Practice Address - Fax:949-272-9976
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-08
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA253997207R00000X
MA244291390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110099862AMedicaid