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Individual

DR. ROY D NINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
444 S SAN VICENTE BLVD, STE 800, LOS ANGELES, CA 90048-4165
(310) 423-9885
Mailing address
6217 ORANGE ST, STE #2, LOS ANGELES, CA 90048-4869
(323) 571-3578

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A79898
CA

Other

Enumeration date
12/09/2006
Last updated
09/29/2007
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