Individual provider · Type 1 NPI

Anoosheh Nikkar, PA-C

Surgical Physician Assistant · Los Angeles, CA

NPI number 1003196940 Active

Practice location

1300 N Vermont Ave, #1006
Los Angeles, CA 90027-6005

Call (323) 361-2169 Map

Mailing address

2531 Cross St
La Crescenta, CA 91214-3106

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA4240 (MA)
Surgical Physician Assistant Primary 363AS0400X21661 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1003196940

Anoosheh Nikkar, PA-C's National Provider Identifier is 1003196940, issued on Aug 24, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 25, 2014.