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NPI Code Detail

MEDICARE: NSN ASSOCIATES INC

MEDICARE: NSN ASSOCIATES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1293D00000XPhysiological LaboratoryCA

General Provider Information

NPI Number : 1073642815
Entity Type Code : Organization
Provider Name (Legal Business Name) : NSN ASSOCIATES INC
Provider Business Mailing Address
First Line : 3200 WILSHIRE BLVD
Second Line : SUITE 308
City : LOS ANGELES
State : CA
Zip : 90010-1333
Country : US
Telephone Number : 213-382-6247
Fax Number : 213-382-6259
Provider Business Practice Location Address
First Line : 3200 WILSHIRE BLVD
Second Line : SUITE 308
City : LOS ANGELES
State : CA
Zip : 90010-1333
Country : US
Telephone Number : 213-382-6247
Fax Number : 213-382-6259
Authorized Official
Title or Position : PRESIDENT
Name : MS. ARMINEH AVDISSIAN
Credential :
Telephone Number : 213-382-6247
Provider Enumeration Date : 03/05/2007
Last Update Date : 08/22/2020

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