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NPI Code Detail

MEDICARE: DR. NADRIEN JESSICA BISHOP PSY.D.

MEDICARE:  DR. NADRIEN JESSICA BISHOP  PSY.D.
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
1225400000XRehabilitation PractitionerCA

General Provider Information

NPI Number : 1306270129
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NADRIEN JESSICA BISHOP PSY.D.
Provider Business Mailing Address
First Line : 1125 W 6TH ST
Second Line : 103
City : LOS ANGELES
State : CA
Zip : 90017-1833
Country : US
Telephone Number : 213-202-3970
Fax Number : 213-202-3977
Provider Business Practice Location Address
First Line : 1453 W TEMPLE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-5648
Country : US
Telephone Number : 213-926-3619
Fax Number : 213-202-3977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2013
Last Update Date : 10/10/2023

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