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NPI Code Detail

MEDICARE: NICOLE E STRAUSS

MEDICARE: NICOLE E STRAUSS
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
1103TC0700XClinical PsychologistPSY34677CA

General Provider Information

NPI Number : 1891281598
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE E STRAUSS
Provider Business Mailing Address
First Line : 2904 W SUNSET BLVD STE 3
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-7308
Country : US
Telephone Number : 408-214-3043
Fax Number :
Provider Business Practice Location Address
First Line : 2904 W SUNSET BLVD STE 3
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-7308
Country : US
Telephone Number : 408-214-3043
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2018
Last Update Date : 08/06/2024

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Directions to “ NICOLE E STRAUSS ” Practice Location

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