Individual
NANCY AMIR HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 N VERMONT AVE, 5TH FLOOR, LOS ANGELES, CA 90027-5337
(800) 954-8000
(804) 828-5466
Mailing address
1515 N VERMONT AVE, 5TH FLOOR, LOS ANGELES, CA 90027-5337
(800) 954-8000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A129552
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639490493
NPI
CA
05
—
1639490493
—
CA
Enumeration date
06/16/2010
Last updated
12/08/2021
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