Provider Demographics
NPI:1336739648
Name:NIMA NAGHSHINEH MD
Entity Type:Organization
Organization Name:NIMA NAGHSHINEH MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGHSHINEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-529-2399
Mailing Address - Street 1:50 BELLEFONTAINE ST STE 308
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3132
Mailing Address - Country:US
Mailing Address - Phone:626-696-8181
Mailing Address - Fax:626-424-2121
Practice Address - Street 1:50 ALESSANDRO PL STE 400
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3179
Practice Address - Country:US
Practice Address - Phone:626-696-8181
Practice Address - Fax:626-424-2121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty