Organization
GREGG K NISHI M D A CALIFORNIA PROFESSION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG NISHI M.D. (OWNER)
(310) 858-1242
Entity
Organization
Contact information
Practice address
9033 WILSHIRE BLVD, STE 200, BEVERLY HILLS, CA 90211-1837
(310) 858-1242
Mailing address
9033 WILSHIRE BLVD, SUITE 200, BEVERLY HILLS, CA 90211-1837
(310) 858-1242
(310) 858-1172
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A75418
CA
Other
Enumeration date
03/17/2011
Last updated
09/11/2015
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