Provider Demographics
NPI:1982813630
Name:NARAGHI, ASHKAN LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHKAN
Middle Name:LEE
Last Name:NARAGHI
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 1:818 S GRETNA GREEN WAY
Mailing Address - Street 2:SUITE 307
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-5249
Mailing Address - Country:US
Mailing Address - Phone:310-382-4363
Mailing Address - Fax:
Practice Address - Street 1:818 S GRETNA GREEN WAY
Practice Address - Street 2:SUITE 307
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-5249
Practice Address - Country:US
Practice Address - Phone:310-382-4363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98791207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine