Gregg K. Nishi, MD, A California Professional Corporation
Clinic/Center, Medical Specialty in Beverly Hills, CA. Organization (NPI-2).
NPI number1578956249
StatusActive
Last updated in NPPESMar 5, 2015
Details
- NPI
- 1578956249
- Entity type
- Organization (NPI-2)
- Legal business name
- Gregg K. Nishi, MD, A California Professional Corporation
- Organization subpart
- No
- Enumeration date
- Mar 5, 2015
- Last updated
- Mar 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | A75418 | CA | Yes |
Practice location
9033 Wilshire BlvdSuite 200
Beverly Hills, CA 90211-1837
Phone 310-858-1242 · Fax 310-858-1172
Mailing address
9033 Wilshire BlvdSuite 200
Beverly Hills, CA 90211-1837
Phone 310-858-1242 · Fax 310-858-1172
Authorized official
Gregg Kaizo Nishi
President
3108581242
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