Provider Demographics
NPI:1205647856
Name:CHIMA NURSING CARE NP INC
Entity type:Organization
Organization Name:CHIMA NURSING CARE NP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:CHIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAWANDIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-481-5951
Mailing Address - Street 1:1172 SWALLOW LN
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-3154
Mailing Address - Country:US
Mailing Address - Phone:805-583-4111
Mailing Address - Fax:
Practice Address - Street 1:1172 SWALLOW LN
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-3154
Practice Address - Country:US
Practice Address - Phone:805-583-4111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty