Healthcare Provider Details

I. General information

NPI: 1881889749
Provider Name (Legal Business Name): FRANK AMIN NESSARY PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 07/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10155 COLIMA RD
WHITTIER CA
90603
US

IV. Provider business mailing address

3812 SEPULVEDA BLVD STE 530
TORRANCE CA
90505-2491
US

V. Phone/Fax

Practice location:
  • Phone: 562-692-0383
  • Fax:
Mailing address:
  • Phone: 424-333-5708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY29186
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: