Organization
GREGG K. NISHI, MD, A CALIFORNIA PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG KAIZO NISHI M.D. (PRESIDENT)
(310) 858-1242
Entity
Organization
Contact information
Practice address
9033 WILSHIRE BLVD, SUITE 200, BEVERLY HILLS, CA 90211-1837
(310) 858-1242
(310) 858-1172
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
261QM2500X
Medical Specialty Clinic/Center
Primary
A75418
CA
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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