Individual
ALEX NISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W SUNSET BLVD # 53, LOS ANGELES, CA 90027-6062
(323) 361-2350
Mailing address
4650 W SUNSET BLVD # 53, LOS ANGELES, CA 90027-6062
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
14667
CA
Other
Enumeration date
05/21/2013
Last updated
10/10/2014
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