NIKKEI PEDIATRIC MEDICAL GROUP INC NPI 1316030968

NPI Information

  • NPI: 1316030968
  • Provider Name: NIKKEI PEDIATRIC MEDICAL GROUP INC
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • CLIA Number: 05D0541273
  • Address: 420 E 3RD STREET
    SUITE 803
    LOS ANGELES, CA
    ZIP 90013
  • Phone: (213) 617-7073

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NPI Details

NIKKEI PEDIATRIC MEDICAL GROUP INC is an adolescent medicine pediatrics in Los Angeles, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NIKKEI PEDIATRIC MEDICAL GROUP INC NPI is 1316030968. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

420 E 3RD STREET
SUITE 803
LOS ANGELES, CA
ZIP 90013-646
Phone: (213) 617-7073
Fax: (213) 617-3132

The provider's authorized official is George Etsuro Nakashima .
The authorized official title is President and has the following contact phone number (213) 617-7073.

The CLIA number assigned to this NPI record is 05D0541273 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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