Doctor Name: | NIRMALA T NANDA |
NPI Number: | 1164516043 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | C41178 |
Business Practice Address: | 1045 Atlantic Ave Suite 607 Long Beach, CA - 908133408 |
Business Phone Number: | 5624374462 |
Business Fax Number: | |
Mailing Address: | 2114 Artesia Blvd, Suite 607 REDONDO BEACH |
State: | CA |
Postal Code: | 902783014 |
Phone Number: | 3103182521 |
Fax Number: | |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 04/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C41178 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |