Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | A112498 | CA |
NPI | 1154402287 |
---|---|
Provider Name | Dr. Nima L Shemirani |
First Address | Beverly Hills, CA 90212-3610 |
Second Address | Beverly Hills, CA 90211-2921 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 04/11/2021 |