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Pinky R Thakkar, PA-C
Medical Physician Assistant in Santa Monica, California
NPI 1659466001

Pinky R Thakkar is a Medical Physician Assistant based in Santa Monica, CA and is specialized in Medical. Pinky R Thakkar practices in Santa Monica, CA and has the professional credentials of PA-C. The NPI Number for Pinky R Thakkar is 1659466001 and holds a License No. PA18085 (California).

The current practice location address for Pinky R Thakkar is 2121 Santa Monica Blvd., Santa Monica, CA and can be reached out via phone at 310-829-8212.

Location: 2121 Santa Monica Blvd., Santa Monica, CA, 90404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659466001
Provider Name
Pinky R Thakkar
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2121 Santa Monica Blvd., Santa Monica, CA, 90404
Phone Number
310-829-8212
Fax Number
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
WPA18085A 01 CA PPIN NUMBER
institution
Provider Business Practice Location Address Details
Address
2121 Santa Monica Blvd.
City
Santa Monica
State
California
Zip
90404
Phone Number
310-829-8212
Fax Number
person
Provider Business Mailing Address Details
Address
2121 Santa Monica Blvd.
City
Santa Monica
State
California
Zip
90404
Phone Number
310-829-8212
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA18085 (California)
Definition
Definition to come...
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