Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sylmar Medical Group Physician Assistant Inc

Organization Physician Assistant · NPI 1336905991

Sylmar Medical Group Physician Assistant Inc provides Physician Assistant services in Sylmar, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13749 Foothill Blvd
Sylmar, CA 91342-3105
Phone: (818) 617-0253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1336905991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nasrin Ahmadi — Ceo · (323) 810-1917
NPI enumeratedFebruary 22, 2024
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024
Mailing addressPo Box 920773, Sylmar, CA 91392-0773

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