| Nimsha Thaver, D.O. | |
|
1350 W 6th St Second Floor, Suite 7 San Pedro CA 90732-3544 | |
| (310) 802-3219 | |
| (310) 831-3000 |
| Full Name | Nimsha Thaver, D.O. |
|---|---|
| Speciality | Family Medicine |
| Location | 1350 W 6th St, San Pedro, California |
| Authorized Official Name and Position | Nimshavathani Thaver (PRESIDENT) |
| Authorized Official Contact | 3109479517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nimsha Thaver, D.O. 53 Paseo De Castana Rancho Palos Verdes CA 90275-6385 Ph: (310) 802-3219 | Nimsha Thaver, D.O. 1350 W 6th St Second Floor, Suite 7 San Pedro CA 90732-3544 Ph: (310) 802-3219 |
| NPI Number | 1285680280 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285680280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A9264 (California) | Primary |
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