Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20A7242 | CA |
N | 207Q00000X | Family Doctor | 20A7242 | CA |
NPI | 1437489010 |
---|---|
Provider Name | Dr. Natalie Ann Nevins |
First Address | West Hollywood, CA 90046-6847 |
Second Address | Downey, CA 90241-5026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2010 |
Last Update Date | 05/01/2010 |