Basic Information
| Provider Information | |||||||||
| NPI: | 1356059216 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CAHSAI | ||||||||
| FirstName: | SIMA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3214 S BARRINGTON AVE APT E | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900661143 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7073427409 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2841 LOMITA BLVD STE 100 | ||||||||
| Address2: | |||||||||
| City: | TORRANCE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 905055100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3102570508 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/09/2022 | ||||||||
| LastUpdateDate: | 11/09/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2100X | 95021733 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
No ID Information.