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Individual

YASAMIN BANIHASHEMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8700 BEVERLY BLVD # 220, WEST HOLLYWOOD, CA 90048-1804
(310) 423-9520
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 967-1782
(877) 350-2872

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95012343
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95012343
CA

Other

Enumeration date
08/09/2019
Last updated
12/08/2021
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