Provider Demographics
NPI:1871664029
Name:NAVON, JOSEPH DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:DAVID
Last Name:NAVON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:18370 BURBANK BLVD
Mailing Address - Street 2:SUITE 514
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2804
Mailing Address - Country:US
Mailing Address - Phone:818-344-3592
Mailing Address - Fax:818-344-3992
Practice Address - Street 1:18370 BURBANK BLVD
Practice Address - Street 2:SUITE 514
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2804
Practice Address - Country:US
Practice Address - Phone:818-344-3592
Practice Address - Fax:818-344-3992
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2009-11-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG76829208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG77283Medicare UPIN
G76829Medicare ID - Type Unspecified