Individual
DR. GREGG K NISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9033 WILSHIRE BLVD, SUITE 200, BEVERLY HILLS, CA 90211-1837
(310) 858-1242
(310) 858-1172
Mailing address
9033 WILSHIRE BLVD, SUITE 200, BEVERLY HILLS, CA 90211-1837
(310) 858-1242
(310) 858-1172
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
63430
AZ
208600000X
Surgery Physician
13342087-1205
UT
208600000X
Surgery Physician
63430
AZ
208600000X
Surgery Physician
Primary
A75418
CA
Other
Enumeration date
09/20/2006
Last updated
07/21/2023
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