Individual
KUNI NISHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8000
(818) 546-5632
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G78457
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G78457
CA
Other
Enumeration date
02/27/2006
Last updated
06/25/2014
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