Provider Demographics
NPI:1720589039
Name:NAVEED NATANZI DO, INC.
Entity Type:Organization
Organization Name:NAVEED NATANZI DO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NAVEED
Authorized Official - Middle Name:M
Authorized Official - Last Name:NATANZI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:818-605-9333
Mailing Address - Street 1:14332 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2717
Mailing Address - Country:US
Mailing Address - Phone:818-581-2001
Mailing Address - Fax:424-261-7678
Practice Address - Street 1:14332 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2717
Practice Address - Country:US
Practice Address - Phone:818-581-2001
Practice Address - Fax:424-261-7678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-22
Last Update Date:2022-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A12989208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty