Individual
KARMIN P NISSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25186 HANCOCK AVE, STE 200, MURRIETA, CA 92562-5998
(951) 414-3484
(949) 561-5404
Mailing address
25186 HANCOCK AVE, MURRIETA, CA 92562-5998
(951) 414-3484
(949) 561-5404
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A144993
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A144993
CA
Other
Enumeration date
03/30/2011
Last updated
12/30/2021
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