Individual provider · Type 1 NPI

Shauntel Renee Nelson, MEDICAL ASSISTANT

Medical Physician Assistant · Los Angeles, CA

NPI number 1902377484 Active

Practice location

303 E 52nd St
Los Angeles, CA 90011-4513

Mailing address

1453 W 85th St Unit B
Los Angeles, CA 90047-5412

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1902377484

Shauntel Renee Nelson, MEDICAL ASSISTANT's National Provider Identifier is 1902377484, issued on Dec 10, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 4, 2026.