Provider Demographics
NPI:1730196866
Name:NEUFELD, NAOMI D (MD)
Entity type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:D
Last Name:NEUFELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8733 BEVERLY BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1827
Mailing Address - Country:US
Mailing Address - Phone:310-652-3976
Mailing Address - Fax:310-652-8085
Practice Address - Street 1:8733 BEVERLY BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1827
Practice Address - Country:US
Practice Address - Phone:310-652-3976
Practice Address - Fax:310-652-8085
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG0292752080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G292750Medicaid
CA00G292750Medicaid