KSK NURSING CORPORATION NPI 1497503130

NPI Information

  • NPI: 1497503130
  • Provider Name: KSK NURSING CORPORATION
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 1875 W REDONDO BEACH BLVD STE 308
    GARDENA, CA
    ZIP 90247
  • Phone: (310) 387-2054

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NPI Details

KSK NURSING CORPORATION is a psychiatric/mental health nurse practitioner in Gardena, CA. KSK NURSING CORPORATION NPI is 1497503130. The provider is registered as an organization entity type.

The provider's business location address is:

1875 W REDONDO BEACH BLVD STE 308
GARDENA, CA
ZIP 90247-644
Phone: (310) 387-2054

The provider's authorized official is Khadeer Khan .
The authorized official title is Director and has the following contact phone number (310) 387-2054.

The enumeration date for this NPI number is 5/8/2024 and was last updated on 11/27/2024.

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
1261Q00000XClinic/CenterNo
2363LF0000XNurse PractitionerFamilyNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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