Individual
CLOTELLA NIKKI SOMERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
655 MAPLE AVE, LOS ANGELES, CA 90014-2211
(323) 244-6720
Mailing address
655 MAPLE AVE, LOS ANGELES, CA 90014-2211
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175T00000X
PEER SPECIALIST
CA
Enumeration date
10/03/2025
Last updated
04/21/2026
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