Provider Demographics
NPI:1265574172
Name:NAJAFI, HOSSEIN ALKHORSAN (MD)
Entity type:Individual
Prefix:MR
First Name:HOSSEIN
Middle Name:ALKHORSAN
Last Name:NAJAFI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28901 S. WESTERN AVE
Mailing Address - Street 2:#127
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-0824
Mailing Address - Country:US
Mailing Address - Phone:310-514-2511
Mailing Address - Fax:310-514-2449
Practice Address - Street 1:28901 S. WESTERN AVE.
Practice Address - Street 2:#127
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275-0824
Practice Address - Country:US
Practice Address - Phone:310-514-2511
Practice Address - Fax:310-514-2449
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA37763174400000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA330003627OtherTAX ID NUMBER