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1689330177
SHIMON OMMATYAR
LOS ANGELES, CA
NPI
1689330177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 60283)
Enumeration Date
2021-11-09
Last Update Date
2023-02-28
Business Address
SHIMON OMMATYAR PA-C
2011 WILSHIRE BLVD
LOS ANGELES, CA 90057-3503
Phone number: 213-484-4444
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Mailing Address
SHIMON OMMATYAR PA-C
2011 WILSHIRE BLVD
LOS ANGELES, CA 90057-3503
Phone number: 310-409-6677
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