Thaghar Mansour Oda
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
1111 W Chase Ave
El Cajon
, California 92020-5710
Thaghar Mansour Oda
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
1111 W Chase Ave
El Cajon
, California 92020-5710
(619) 515-2300
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Thaghar Mansour Oda
- 823 Gateway Center Way
- San Diego, CA
- Zip : 92102-4541
- Phone : (619) 515-2300
Second Address
- Thaghar Mansour Oda
- 1111 W Chase Ave
- El Cajon, CA
- Zip : 92020-5710
- Phone : (619) 515-2499
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Is Thaghar Mansour Oda a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LF0000X | Nurse Practitioner - Family Medicine | NPF95000205 | CA |
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 95000205 | CA |
National Provider Identifier
| NPI | 1063835692 |
|---|---|
| Provider Name | Thaghar Mansour Oda |
| First Address | San Diego, CA 92102-4541 |
| Second Address | El Cajon, CA 92020-5710 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/02/2014 |
| Last Update Date | 05/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.