Individual
DAVID NISENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N MAIN ST STE 200, SANTA ANA, CA 92701-3640
(714) 480-6767
Mailing address
126 DIAMOND TAIL RD, PLACITAS, NM 87043-8338
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A129897
CA
Other
Enumeration date
04/27/2012
Last updated
03/15/2021
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