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Tina Nikoomanesh, DO
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1801390042

Tina Nikoomanesh is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Tina Nikoomanesh practices in San Diego, CA and has the professional credentials of DO. The NPI Number for Tina Nikoomanesh is 1801390042 and holds a License No. 20A17855 (California).

The current practice location address for Tina Nikoomanesh is 4077 Fifth Ave # Mer35, San Diego, CA and can be reached out via phone at 619-294-8111.

Location: 4077 Fifth Ave # Mer35, San Diego, CA, 92103-2105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801390042
Provider Name
Tina Nikoomanesh
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
4077 Fifth Ave # Mer35, San Diego, CA, 92103-2105
Phone Number
619-294-8111
Fax Number
Provider Enumeration Date
03/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4077 Fifth Ave # Mer35
City
San Diego
State
California
Zip
92103-2105
Phone Number
619-294-8111
Fax Number
person
Provider Business Mailing Address Details
Address
4077 Fifth Ave # Mer35
City
San Diego
State
California
Zip
92103-2105
Phone Number
619-294-8111
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Endocrinology, Diabetes & Metabolism
Taxonomy
207RE0101X
License No.
()
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
20A17855 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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