SearchCaliforniaPhysician Assistant

Nicole Tien, PA

NPI 1861119356 · on the registry since 2022 · sole proprietor

Practice

Address
2221 Lincoln Blvd Ste 100
Santa Monica, CA 90405
Phone
(310) 392-1111
Fax
(310) 392-1101
Organisation at this address
Benjamin Behroozan M D Inc
Dr. Ehteram Benji Behroozan
Yosi Payam Behroozan Dds Inc.
Daniel Behroozan Md A Medical Corporation
Vitality&Longevity Medical Center A Professional Medical Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Additional practice sites

  • 9090 Burton Way, Beverly Hills, CA

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Also registered as
Physician Assistant
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-20

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