Search › California › 207RE0101X
Tina Nikoomanesh, DO
NPI 1801390042 · on the registry since 2018
Practice
- Address
- 4077 Fifth Ave # Mer35
San Diego, CA 92103 - Phone
- (619) 294-8111
- Clinicians at this address
- 52
Additional practice sites
- 422 Arneill Rd Ste B, Camarillo, CA
Registry record
- Primary taxonomy
- 207RE0101X
207RE0101X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California