Provider Demographics
NPI:1962654467
Name:NAJAFI, MEDIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEDIA
Middle Name:
Last Name:NAJAFI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 WATERWORKS WAY STE 260
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3169
Mailing Address - Country:US
Mailing Address - Phone:949-872-2200
Mailing Address - Fax:949-872-2202
Practice Address - Street 1:113 WATERWORKS WAY STE 260
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3169
Practice Address - Country:US
Practice Address - Phone:949-872-2200
Practice Address - Fax:949-872-2202
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA465041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice