person
Samaneh Fanaeian, NP
Psychiatric/Mental Health Nurse Practitioner in Santa Monica, California
NPI 1417621434

Samaneh Fanaeian is a Psychiatric/Mental Health Nurse Practitioner based in Los Angeles, CA and is specialized in Psychiatric/Mental Health. Samaneh Fanaeian practices in Santa Monica, CA and has the professional credentials of NP. The NPI Number for Samaneh Fanaeian is 1417621434 and holds a License No. 95017465 (California).

The current practice location address for Samaneh Fanaeian is 2656 29Th St Ste 202, Santa Monica, CA and can be reached out via phone at 310-503-0221. You can also correspond with Samaneh Fanaeian through the mailing address at 3931 W 58TH PL, LOS ANGELES, CA - 90043-2913 (mailing address contact number: 916-335-0727).

Location: 2656 29Th St Ste 202, Santa Monica, CA, 90043-2913
person
Provider Profile Details
NPI Number
1417621434
Provider Name
Samaneh Fanaeian
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2656 29Th St Ste 202, Santa Monica, CA, 90043-2913
Phone Number
310-503-0221
Fax Number
Provider Enumeration Date
08/03/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417621434 05 CA
institution
Provider Business Practice Location Address Details
Address
2656 29Th St Ste 202
City
State
Zip
90405-2984
Phone Number
310-503-0221
Fax Number
person
Provider Business Mailing Address Details
Address
2656 29Th St Ste 202
City
State
Zip
90405-2984
Phone Number
310-503-0221
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95017465 (California)
Definition
Definition to come...
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