Provider Demographics
NPI:1821174590
Name:NARVAEZ, NESTOR FLAVIO
Entity Type:Individual
Prefix:MR
First Name:NESTOR
Middle Name:FLAVIO
Last Name:NARVAEZ
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 1:3006 ROYAL ST
Mailing Address - Street 2:5
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90007-3618
Mailing Address - Country:US
Mailing Address - Phone:213-746-5585
Mailing Address - Fax:
Practice Address - Street 1:3006 ROYAL ST
Practice Address - Street 2:5
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90007-3618
Practice Address - Country:US
Practice Address - Phone:213-746-5585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator