Individual
GERALD LERAY NISSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
16916 STATE HIGHWAY 14, MOJAVE, CA 93501-1226
(661) 824-9732
(661) 824-1638
Mailing address
16916 STATE HIGHWAY 14, MOJAVE, CA 93501-1226
(661) 824-9732
(661) 824-1638
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
DC16780
CA
2471C3402X
Radiography Radiologic Technologist
Primary
RHC126137
CA
Other
Enumeration date
07/05/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us