Individual
NASIMA DIANA SHADBEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
127 S SAN VICENTE BLVD STE A6600, LOS ANGELES, CA 90048-3311
(310) 423-6472
(310) 423-0148
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-6472
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20A18179
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
05/06/2015
Last updated
08/17/2022
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