Most Relevant Information
Provider Data
| NPI Number: | 1003565789 |
| Provider Name: | NICHOLE YADIDI |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/21/2022 |
| Last Updated: | 03/21/2022 |
Provider Practice Location
23031 HAMLIN ST
WEST HILLS
CA
91307
Practice Location Phone/Fax
| Phone: | 8183241917 |
| Fax: |
Provider Mailing Location
23031 HAMLIN ST
WEST HILLS
CA
913073504
Provider Mailing Phone/Fax
| Phone: | 8183241917 |
| Fax: |