Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND925 | CA |
NPI | 1033620083 |
---|---|
Provider Name | Nikka Kanani |
First Address | Irvine, CA 92620-3113 |
Second Address | Long Beach, CA 90804-4436 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2017 |
Last Update Date | 17/10/2017 |