Most Relevant Information
Provider Data
| NPI Number: | 1003196940 |
| Provider Name: | ANOOSHEH NIKKAR PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA4240 |
Most Important Dates
| Enumeration Date: | 08/24/2011 |
| Last Updated: | 02/25/2014 |
Provider Practice Location
1300 N VERMONT AVE
#1006
LOS ANGELES
CA
900276005
Practice Location Phone/Fax
| Phone: | 3233612169 |
| Fax: |
Provider Mailing Location
2531 CROSS ST
LA CRESCENTA
CA
912143106
Provider Mailing Phone/Fax
| Phone: | 8184974840 |
| Fax: |