MEDICARE: MR. NICHOLAS A OSHER RN

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
1	163W00000X	Registered Nurse	796893	CA

General Provider Information

NPI Number	:	1548521347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NICHOLAS A OSHER RN

Provider Business Mailing Address
First Line	:	7917 SELMA AVE
Second Line	:	#227
City	:	LOS ANGELES
State	:	CA
Zip	:	90046-2667
Country	:	US
Telephone Number	:	323-545-6508
Fax Number	:	323-512-4882

Provider Business Practice Location Address
First Line	:	7917 SELMA AVE
Second Line	:	#227
City	:	LOS ANGELES
State	:	CA
Zip	:	90046-2667
Country	:	US
Telephone Number	:	323-545-6508
Fax Number	:	323-512-4882

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2012
Last Update Date	:	06/07/2012

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