MISS JASMINE KORDBACHEH NPI 1902355043

NPI Information

NPI: 1902355043
Provider Name: MISS JASMINE KORDBACHEH
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
6699 W BOYNTON BEACH BLVD STE B
BOYNTON BEACH, FL
ZIP 33437
Phone: (561) 296-1188
Get Directions

MISS Jasmine Kordbacheh is a surgical physician assistant in Boynton Beach, FL. MISS Jasmine Kordbacheh NPI is 1902355043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6699 W BOYNTON BEACH BLVD STE B
BOYNTON BEACH, FL
ZIP 33437-527
Phone: (561) 296-1188

The NPI 1902355043 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/30/2016 and was last updated on 7/22/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			No
2	363AS0400X	Physician Assistant	Surgical	PA9109934	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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