Mahasti Ardekani-Pourzand
Physician Assistant in San Jose, CA. Individual provider (NPI-1).
NPI number1497069082
StatusActive
Last updated in NPPESMar 11, 2022
Details
- NPI
- 1497069082
- Entity type
- Individual (NPI-1)
- Name
- Mahasti Ardekani-Pourzand
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2010
- Certification date
- Mar 11, 2022
- Last updated
- Mar 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA20547 | CA | Yes |
Practice location
1893 Monterey RdSuite 200
San Jose, CA 95112-6136
Phone 408-288-3800
Mailing address
16110 E 14th StSan Leandro, CA 94578-3002
Phone 408-288-3800
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