Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND-210 | CA |
NPI | 1033469911 |
---|---|
Provider Name | Dr. Nushka Kassem |
First Address | Los Angeles, CA 90021-1251 |
Second Address | Los Angeles, CA 90021-1251 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2012 |
Last Update Date | 18/09/2012 |