Individual
KRISTIN ELIZABETH NESBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8635 W 3RD STREET, #390W, LOS ANGELES, CA 90048-6101
(310) 652-1133
(310) 652-4353
Mailing address
8635 W 3RD STREET, #390W, LOS ANGELES, CA 90048-6101
(310) 652-1133
(310) 652-4353
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A60925
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A609250
—
CA
Enumeration date
08/11/2006
Last updated
08/17/2010
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