Individual
NANCY CALLAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
212 BAILEY ST, LOS ANGELES, CA 90033-2459
(818) 397-1135
Mailing address
212 BAILEY ST, LOS ANGELES, CA 90033-2459
(818) 397-1135
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
55458
CA
363AM0700X
Medical Physician Assistant
PAT9107943
FL
Other
Enumeration date
07/23/2014
Last updated
05/14/2021
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