Ayesha C Chiem
Ayesha C Chiem is a Nurse Practitioner in El Segundo, California. Qualified in 2023, 3 years ago. Licensed in Pennsylvania.
- Years since qualifying
- 3
- Licensed in
- PA
- In the registry since
- 2024
Practice location Address checks out
300 Continental Blvd Ste 560El Segundo, CA 90245-5030
Phone: (310) 658-3775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence SP030041 (PA) |
|---|
Record details
| NPI number | 1073349262 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 12, 2024 |
| Last updated in NPPES | August 31, 2026 |
| Certification date | August 31, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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