Provider Demographics
NPI:1396803664
Name:LAVID, NATHAN ERNEST (MD)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:ERNEST
Last Name:LAVID
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:65 PINE AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-4718
Mailing Address - Country:US
Mailing Address - Phone:562-912-4646
Mailing Address - Fax:562-912-4647
Practice Address - Street 1:834 E 4TH ST STE F
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-7212
Practice Address - Country:US
Practice Address - Phone:562-912-4646
Practice Address - Fax:562-912-4647
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA0670552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry