Individual
TODD NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1920 MARENGO ST., LOS ANGELES, CA 90033
(310) 945-3350
(310) 945-3350
Mailing address
1920 MARENGO ST., LOS ANGELES, CA 90033
(310) 945-3350
(310) 945-3350
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
16777
CA
363LF0000X
Family Nurse Practitioner
21812
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21812
CA
Other
Enumeration date
03/21/2013
Last updated
07/30/2014
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