NPI 1003196940

Anoosheh Nikkar, PAC

Practitioner Surgical Physician Assistant Los Angeles, CA

Practice location

Address: 1300 N Vermont Ave #1006, Los Angeles, CA 90027-6005
Phone: (323) 361-2169
Mailing address: 2531 Cross St, La Crescenta, CA 91214-3106

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 21661 (CA)

Other Physician Assistant providers in California →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA4240 (MA)

Registry record

NPI: 1003196940
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2011
Record last updated: 25 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.