Provider Demographics
NPI:1831389477
Name:ESNAASHARI, NASRIN (NP)
Entity type:Individual
Prefix:MS
First Name:NASRIN
Middle Name:
Last Name:ESNAASHARI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:NASRIN
Other - Middle Name:
Other - Last Name:MOIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP CNS
Mailing Address - Street 1:PO BOX 31309
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90031-0309
Mailing Address - Country:US
Mailing Address - Phone:323-442-5710
Mailing Address - Fax:323-442-5729
Practice Address - Street 1:1520 SAN PABLO ST
Practice Address - Street 2:SUITE 3000
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-5310
Practice Address - Country:US
Practice Address - Phone:323-442-5710
Practice Address - Fax:323-442-5729
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA565364SA2100X
CANP8433363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care