Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sylmar Medical Group Physician Assistant Inc

Organization Physician Assistant · NPI 1336905991

Sylmar Medical Group Physician Assistant Inc is a Physician Assistant in Sylmar, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13749 Foothill Blvd
Sylmar, CA 91342-3105
Phone: (818) 617-0253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1336905991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nasrin Ahmadi — Ceo · (323) 810-1917
NPI enumeratedFebruary 22, 2024
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024
Mailing addressPo Box 920773, Sylmar, CA 91392-0773

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