Individual
AMANDA SARAH SIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2243 KELTON AVE, LOS ANGELES, CA 90064-2010
(310) 562-1225
Mailing address
2243 KELTON AVE, LOS ANGELES, CA 90064-2010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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