Individual
NIMA YAZDANPANAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
802 BUENA VISTA ST, DUARTE, CA 91010-1702
(872) 231-3162
Mailing address
PO BOX 7410882, CHICAGO, IL 60674-0882
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
23085
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
23085
CA
Other
Enumeration date
06/04/2018
Last updated
10/10/2025
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