Individual
DR. BENJAMIN NAKANISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2001 S BARRINGTON AVE STE 203, LOS ANGELES, CA 90025-5385
(310) 308-7949
Mailing address
2001 S BARRINGTON AVE STE 203, LOS ANGELES, CA 90025-5385
(310) 308-7949
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 25911
CA
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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