Search › California › 390200000X

Jennifer Nichols

NPI 1972924702 · on the registry since 2013 · sole proprietor

Practice

Address
669 W 34th St
Los Angeles, CA 90089
Phone
(213) 740-0545
Organisation at this address
University Of Southern California
Inferred from a shared address, not stated in the registry.
Clinicians at this address
83

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-12-05
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California