Healthcare Provider Details

I. General information

NPI: 1174742233
Provider Name (Legal Business Name): CESSI NASH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3761 STOCKER ST SUITE 105
LOS ANGELES CA
90008-5111
US

IV. Provider business mailing address

36595 TORREY PINES DR
BEAUMONT CA
92223-8042
US

V. Phone/Fax

Practice location:
  • Phone: 323-294-4261
  • Fax: 323-294-7261
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: