Individual provider · Type 1 NPI

Soha Ebneyamin, PA-C

Medical Physician Assistant · Santa Monica, CA

NPI number 1700261682 Active

Practice location

1537 15th St Apt 106
Santa Monica, CA 90404-3350

Call (310) 804-0743 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X52633 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1700261682

Soha Ebneyamin, PA-C's National Provider Identifier is 1700261682, issued on Jul 21, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Monica, CA. The record was last updated on Dec 13, 2021.