Provider Demographics
NPI:1366871758
Name:NAGHMEH KHODAI MD INC
Entity type:Organization
Organization Name:NAGHMEH KHODAI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAGHMEH
Authorized Official - Middle Name:
Authorized Official - Last Name:KHODAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-878-6806
Mailing Address - Street 1:6355 DE SOTO AVE APT B423
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2640
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23101 SHERMAN PL STE 301
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-2010
Practice Address - Country:US
Practice Address - Phone:818-887-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA114103207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty