Provider Information for 1427379452
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NICHOLAS NUNEZ
Sex: Male
NPI: 1427379452
Last Updated: 2025-01-22
Certification Date: 2025-01-22
Certification Date: 2025-01-22
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1427379452 | ||||||||
| Enumeration Date | 2010-06-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 161 W VICTORIA ST LONG BEACH, CA 90805-2175 United States Phone: 323-242-5000 | Fax: | ||||||||
| Primary Practice Address | 161 W VICTORIA ST LONG BEACH, CA 90805-2175 United States Phone: 323-242-5000 | Fax: | ||||||||
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