Provider Demographics
NPI:1871867135
Name:NADER JAVADI MD A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:NADER JAVADI MD A PROFESSIONAL CORPORATION
Other - Org Name:HOPE HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NADER
Authorized Official - Middle Name:
Authorized Official - Last Name:JAVADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-405-2828
Mailing Address - Street 1:19231 VICTORY BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-6308
Mailing Address - Country:US
Mailing Address - Phone:818-578-6454
Mailing Address - Fax:818-578-6571
Practice Address - Street 1:19231 VICTORY BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-6308
Practice Address - Country:US
Practice Address - Phone:818-578-6454
Practice Address - Fax:818-578-6571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty