Individual
NUSHA BASHARDOUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
23622 CALABASAS RD, #339, CALABASAS, CA 91302-1549
(818) 225-0117
(818) 225-0127
Mailing address
23622 CALABASAS RD, #339, CALABASAS, CA 91302-1549
(818) 225-0117
(818) 225-0127
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA51713
CA
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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