Provider Demographics
NPI:1326923863
Name:SHAHANGIAN, NASIM (NP)
Entity type:Individual
Prefix:MRS
First Name:NASIM
Middle Name:
Last Name:SHAHANGIAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5351 WOODLAKE AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-4153
Mailing Address - Country:US
Mailing Address - Phone:818-266-3030
Mailing Address - Fax:
Practice Address - Street 1:5351 WOODLAKE AVE
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-4153
Practice Address - Country:US
Practice Address - Phone:818-266-3030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95033608363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner