Individual
NISHAN A TESFAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCP
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 783-7920
Mailing address
2324 HILLCREST DR, LOS ANGELES, CA 90016-1608
(323) 735-5765
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
23918
CA
Other
Enumeration date
09/23/2018
Last updated
09/23/2018
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