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NIMSHA THAVER D.O PC NPI 1285680280


NPI Information

NPI: 1285680280
Provider Name: NIMSHA THAVER, D.O PC

Other Name: NIMSHA THAVER, D.O.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1350 W 6TH ST
SECOND FLOOR, SUITE 7
SAN PEDRO, CA
ZIP 90732
Phone: (310) 802-3219
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NIMSHA THAVER, D.O PC is a family medicine in San Pedro, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NIMSHA THAVER, D.O PC NPI is 1285680280. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Nimsha Thaver, D.o..

The provider's business location address is:

1350 W 6TH ST
SECOND FLOOR, SUITE 7
SAN PEDRO, CA
ZIP 90732-544
Phone: (310) 802-3219
Fax: (310) 831-3000

The provider's authorized official is Nimshavathani Thaver .
The authorized official title is President and has the following contact phone number (310) 947-9517.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine20A9264CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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