Nancy Callaham, PHYSICIANASSISTANT
Nancy Callaham, PHYSICIANASSISTANT is a Physician Assistant in Los Angeles, California. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in California and Florida.
- Years since qualifying
- 12
- Licensed in
- CA, FL
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
212 Bailey StLos Angeles, CA 90033-2459
Phone: (818) 397-1135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 55458 (CA) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PAT9107943 (FL) |
Record details
| NPI number | 1386052371 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | July 23, 2014 |
| Last updated in NPPES | May 14, 2021 |
| Certification date | May 14, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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