Kindah Nackoud, PA-C is a
Physician Assistant based in Sunset Beach, California. Kindah Nackoud is licensed to practice in California (license number PA56174) and her current practice location is
16782 Bayview Dr, Sunset Beach, California. She can be reached at her office (for appointments etc.) via phone at
(818) 421-3650.
NPI number for Kindah Nackoud is 1700353729 and her current mailing address is Po Box 963, Sunset Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700353729.
Provider's Profile
| Full Name | Kindah Nackoud |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 16782 Bayview Dr, Sunset Beach, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700353729
- Provider Enumeration Date: 10/29/2018
- Last Update Date: 10/29/2018
Medical Identifiers
Medical identifiers for Kindah Nackoud such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700353729 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA56174 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kindah Nackoud is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kindah Nackoud, PA-C
Po Box 963,
Sunset Beach, CA 90742-0963
Ph: (818) 421-3650 | Kindah Nackoud, PA-C
16782 Bayview Dr,
Sunset Beach, CA 90742
Ph: (818) 421-3650 |
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