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Individual

DR. ALEXANDER I NISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
13739 RIVERSIDE DR STE B, SHERMAN OAKS, CA 91423-2417
(818) 385-0001
(818) 385-0081
Mailing address
10310 RIVERSIDE DR APT 301, TOLUCA LAKE, CA 91602-2459
(818) 761-6323

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A96312
CA

Other

Enumeration date
07/31/2006
Last updated
09/29/2008
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