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NPI Code Detail

MEDICARE: NINA VYAS M.D.

MEDICARE: NINA VYAS M.D.
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
1207VE0102XReproductive Endocrinology PhysicianA1525527CA

General Provider Information

NPI Number : 1972966802
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA VYAS M.D.
Provider Business Mailing Address
First Line : 11818 WILSHIRE BLVD FL 3
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-6646
Country : US
Telephone Number : 310-828-4008
Fax Number :
Provider Business Practice Location Address
First Line : 11818 WILSHIRE BLVD FL 3
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-6646
Country : US
Telephone Number : 310-828-4008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2016
Last Update Date : 05/26/2026

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Directions to “ NINA VYAS M.D.” Practice Location

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