Individual
JAMSHID NIKNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 S LA BREA AVE STE 205, INGLEWOOD, CA 90301-2321
(310) 275-7575
(310) 424-3404
Mailing address
401 S LA BREA AVE STE 205, INGLEWOOD, CA 90301-2321
(310) 275-7575
(310) 424-3404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A52081
CA
207RP1001X
Pulmonary Disease Physician
Primary
A52081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A520810
—
CA
Enumeration date
08/14/2006
Last updated
01/21/2014
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