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NPI Code Detail

MEDICARE: SIMMI GANDHI M.S.N., F.N.P.

MEDICARE: SIMMI GANDHI M.S.N., F.N.P.
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
1363LF0000XFamily Nurse PractitionerNP11014CA

General Provider Information

NPI Number : 1770781312
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMMI GANDHI M.S.N., F.N.P.
Provider Business Mailing Address
First Line : 2210 W SUNSET BLVD # 167
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-3002
Country : US
Telephone Number : 213-293-8930
Fax Number : 213-947-1583
Provider Business Practice Location Address
First Line : 2330 BEVERLY BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-2220
Country : US
Telephone Number : 213-500-3687
Fax Number : 213-947-1583
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2007
Last Update Date : 05/08/2025

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