Individual
JORGE J. NIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 EASTLAKE AVE, NOR8302E, LOS ANGELES, CA 90089-0177
(323) 865-3105
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 865-3105
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A67649
CA
Other
Enumeration date
04/04/2006
Last updated
11/27/2023
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