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Organization
NIMSHA THAVER, D.O PC
Active
Organization
NIMSHA THAVER, D.O PC
Active
Other names
Nimsha Thaver, D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
NIMSHAVATHANI THAVER D.O (PRESIDENT)
(310) 947-9517
Entity
Organization
Contact information
Practice address
1350 W 6TH ST, SECOND FLOOR, SUITE 7, SAN PEDRO, CA 90732-3544
(310) 802-3219
(310) 831-3000
Mailing address
53 PASEO DE CASTANA, RANCHO PALOS VERDES, CA 90275-6385
(310) 802-3219
(310) 831-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A9264
CA
Other
Enumeration date
05/25/2006
Last updated
08/22/2020
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