Organization
ROY D NINI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY D NINI MD (PRESIDENT)
(714) 441-4700
Entity
Organization
Contact information
Practice address
1440 N HARBOR BLVD, SUITE #100, FULLERTON, CA 92835-4127
(310) 423-9885
(310) 423-9819
Mailing address
122 SHELDON ST, EL SEGUNDO, CA 90245-3915
(310) 322-4278
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A79898
CA
Other
Enumeration date
03/05/2008
Last updated
05/02/2012
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