Individual
DAVID JOHN NINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4574
Mailing address
PO BOX 2757, ORANGE, CA 92859-0757
(714) 973-2650
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A7729
CA
Other
Enumeration date
10/10/2006
Last updated
12/03/2021
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