IndividualActive
Allen Nissenson, MD
NPI 1902827371 · Nephrology Physician · Los Angeles, CA
Provider details
- NPI number
- 1902827371
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G31174 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
200 Medical Plaza
#365,530,420,120
Los Angeles, CA 90095
Phone: (310) 825-6301
Approximate (ZIP-level) locationGet directions
Mailing address
5767 W Century Blvd
Los Angeles, CA 90045-5632
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2010-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.