SearchCalifornia101YM0800X

Jamie Nicholson

NPI 1760779813 · on the registry since 2011

Practice

Address
5849 Crocker St
Los Angeles, CA 90003
Phone
(323) 234-4445
Organisation at this address
Special Service For Groups, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
241

Additional practice sites

  • 11315 Atlantic Ave, Lynwood, CA
  • 11315 Atlantic Ave, Lynwood, CA

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-17

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