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NPI Code Detail

MEDICARE: SEYEDEH NEGIN FATEMI PA

MEDICARE: SEYEDEH NEGIN FATEMI PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1447187885
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEYEDEH NEGIN FATEMI PA
Provider Business Mailing Address
First Line : 11634 FAIR OAKS BLVD
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-3771
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11634 FAIR OAKS BLVD
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-3771
Country : US
Telephone Number : 916-983-8868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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Directions to “ SEYEDEH NEGIN FATEMI PA” Practice Location

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