Individual provider · NPI-1

Dr. Nefertiti Abdou, DAOM, L.Ac.

Acupuncturist · Los Angeles, CA

NPI number1912545500
StatusActive
Last updated in NPPESDec 14, 2019

Details

NPI
1912545500
Entity type
Individual (NPI-1)
Name
Dr. Nefertiti Abdou
Credential
DAOM, L.Ac.
Sex
Female
Sole proprietor
No
Enumeration date
Dec 14, 2019
Certification date
Dec 14, 2019
Last updated
Dec 14, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X AcupuncturistAC17210CAYes

Practice location

10921 Wilshire Blvd Ste 702
Los Angeles, CA 90024-3906

Phone 424-645-9741

Mailing address

1601 Westholme Ave
Los Angeles, CA 90024-5910

Phone 424-645-9741

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