Individual provider · Type 1 NPI

Nicole Chase, PA-C

Surgical Physician Assistant · Beverly Hills, CA

NPI number 1134472764 Active

Practice location

465 N Roxbury Dr
Beverly Hills, CA 90210-4206

Mailing address

535 S Curson Ave Apt 2M
Los Angeles, CA 90036-5293

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA22482 (CA)
Surgical Physician Assistant Primary 363AS0400XPA22482 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1134472764

Nicole Chase, PA-C's National Provider Identifier is 1134472764, issued on Oct 19, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Beverly Hills, CA. The record was last updated on Oct 19, 2012.