Search › California › 363LP2300X
Nicole Licup Nam, NP
NPI 1538827985 · on the registry since 2021
Practice
- Address
- 11301 Wilshire Blvd # 117
Los Angeles, CA 90073 - Phone
- (562) 261-7638
- Organisation at this address
- West Los Angeles Va
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Also registered as
- 163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-08
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