Individual
MICHELLE SARAH NEMANPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16661 VENTURA BLVD STE 310, ENCINO, CA 91436-1957
(818) 986-7399
Mailing address
1270 S ALFRED ST # 1826, LOS ANGELES, CA 90035-2506
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA61440
CA
Other
Enumeration date
11/23/2020
Last updated
12/23/2022
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