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NPI Code Detail

MEDICARE: NICOLE KARAYAN

MEDICARE:   NICOLE  KARAYAN
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
1363A00000XPhysician Assistant61742CA

General Provider Information

NPI Number : 1538885769
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE KARAYAN
Provider Business Mailing Address
First Line : 5333 HOLLISTER AVE STE 110
Second Line :
City : GOLETA
State : CA
Zip : 93111-2379
Country : US
Telephone Number : 805-682-8844
Fax Number :
Provider Business Practice Location Address
First Line : 5333 HOLLISTER AVE STE 110
Second Line :
City : GOLETA
State : CA
Zip : 93111-2379
Country : US
Telephone Number : 805-682-8844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2022
Last Update Date : 10/19/2022

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Directions to “ NICOLE KARAYAN ” Practice Location

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