Healthcare Provider Details

I. General information

NPI: 1770251902
Provider Name (Legal Business Name): IGCN HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18726 S WESTERN AVE STE 120
GARDENA CA
90248-3831
US

IV. Provider business mailing address

18726 S WESTERN AVE STE 120
GARDENA CA
90248-3831
US

V. Phone/Fax

Practice location:
  • Phone: 323-433-4165
  • Fax:
Mailing address:
  • Phone: 323-433-4165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MR. CAMERON NESBITT
Title or Position: FOUNDER, CEO, & CLINICAL DIRECTOR
Credential: M.S., BCBA
Phone: 323-433-4165