Individual
ALLAN ISAAC NUTKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17915 VENTURA BLVD STE 220, ENCINO, CA 91316-4810
(818) 938-9175
(818) 938-9173
Mailing address
17915 VENTURA BLVD STE 220, ENCINO, CA 91316-4810
(818) 938-9175
(818) 938-9173
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A32050
CA
251E00000X
Home Health Agency
A32050
CA
Other
Enumeration date
06/10/2008
Last updated
05/28/2014
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