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Organization
JONATHAN NASSERI MD CORP
Active
Organization
JONATHAN NASSERI MD CORP
Active
Other names
UNITED INPATIENT CONSULTANTS
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN NASSERI MD (PRESIDENT)
(805) 905-1188
Entity
Organization
Contact information
Practice address
2975 SYCAMORE DR, SIMI VALLEY, CA 93065-1201
(805) 367-4477
Mailing address
1534 N MOORPARK RD, UNIT 290, THOUSAND OAKS, CA 91360-5129
(805) 905-1188
(805) 367-4477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
CA
207R00000X
Internal Medicine Physician
Primary
—
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
CA
Other
Enumeration date
01/18/2013
Last updated
12/15/2015
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