Healthcare Provider Details

I. General information

NPI: 1043809122
Provider Name (Legal Business Name): MISBAH AKBAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2021
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 WILSHIRE BLVD STE 303
SANTA MONICA CA
90403-5743
US

IV. Provider business mailing address

11610 IOWA AVE APT 11
LOS ANGELES CA
90025-4018
US

V. Phone/Fax

Practice location:
  • Phone: 805-719-3700
  • Fax: 805-413-9099
Mailing address:
  • Phone: 310-422-1826
  • Fax: 805-413-9099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95016854
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: