MEDICARE: BRENDA ESTER SIMAN 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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1598474686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA ESTER SIMAN PA

Provider Business Mailing Address
First Line	:	2243 KELTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-2010
Country	:	US
Telephone Number	:	310-498-8166
Fax Number	:

Provider Business Practice Location Address
First Line	:	2243 KELTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-2010
Country	:	US
Telephone Number	:	310-498-8166
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2022
Last Update Date	:	11/17/2022

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Directions to “ BRENDA ESTER SIMAN PA” Practice Location

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