Healthcare Provider Details

I. General information

NPI: 1366855918
Provider Name (Legal Business Name): SHEILA NASSI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2014
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9663 SANTA MONICA BLVD # 1021
BEVERLY HILLS CA
90210-4303
US

IV. Provider business mailing address

9663 SANTA MONICA BLVD # 1021
BEVERLY HILLS CA
90210-4303
US

V. Phone/Fax

Practice location:
  • Phone: 310-709-5520
  • Fax:
Mailing address:
  • Phone: 310-709-5520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number58792
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: