Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | A156081 | CA |
Y | 208800000X | Urologist | A156081 | CA |
N | 208800000X | Urologist | A156801 | CA |
NPI | 1821450974 |
---|---|
Provider Name | Dr. Nima Nassiri |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90095-1352 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2016 |
Last Update Date | 09/08/2021 |