Provider Demographics
NPI:1124062401
Name:NEMAT, ELHAM (DC)
Entity type:Individual
Prefix:DR
First Name:ELHAM
Middle Name:
Last Name:NEMAT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16101 VENTURA BLVD
Mailing Address - Street 2:STE 343
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2516
Mailing Address - Country:US
Mailing Address - Phone:818-779-1447
Mailing Address - Fax:818-827-4748
Practice Address - Street 1:16101 VENTURA BLVD
Practice Address - Street 2:SUITE # 343
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2500
Practice Address - Country:US
Practice Address - Phone:818-779-1447
Practice Address - Fax:818-827-4748
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27494246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other