Kandace Nassir
Physician Assistant, Medical in Los Angeles, CA. Individual provider (NPI-1).
NPI number1023768280
StatusActive
Last updated in NPPESApr 5, 2022
Details
- NPI
- 1023768280
- Entity type
- Individual (NPI-1)
- Name
- Kandace Nassir
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2022
- Certification date
- Apr 5, 2022
- Last updated
- Apr 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
10532 Lindbrook DrLos Angeles, CA 90024-3326
Phone 310-922-0241
Mailing address
10532 Lindbrook DrLos Angeles, CA 90024-3326
Phone 310-922-0241
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