| Kenneth Nazari Md A Medical Corporation | |
|
501 E Hardy St #424 Inglewood CA 90301-4054 | |
| (775) 751-0777 | |
| (775) 751-8777 |
| Full Name | Kenneth Nazari Md A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 501 E Hardy St, Inglewood, California |
| Authorized Official Name and Position | Kennth Nazari (M.D.) |
| Authorized Official Contact | 7757510777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Nazari Md A Medical Corporation 501 E Hardy St Ste 160 Inglewood CA 90301-4033 Ph: (775) 751-0777 | Kenneth Nazari Md A Medical Corporation 501 E Hardy St #424 Inglewood CA 90301-4054 Ph: (775) 751-0777 |
| NPI Number | 1306034434 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/10/2024 |
| Medicare PECOS PAC ID | 1153216536 |
|---|---|
| Medicare Enrollment ID | O20090203000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306034434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kenneth K Nazari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417051574 PECOS PAC ID: 6305731787 Enrollment ID: I20090203000435 |
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