Healthcare Provider Details

I. General information

NPI: 1740106814
Provider Name (Legal Business Name): SABRINA SHAYA BROOMANDAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11645 WILSHIRE BLVD STE 1155
LOS ANGELES CA
90025-6807
US

IV. Provider business mailing address

11645 WILSHIRE BLVD STE 1155
LOS ANGELES CA
90025-6807
US

V. Phone/Fax

Practice location:
  • Phone: 424-273-9732
  • Fax:
Mailing address:
  • Phone: 424-273-9732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95039630
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: