Provider Demographics
NPI:1528183100
Name:NOUSIAINEN, TOIMI
Entity Type:Individual
Prefix:
First Name:TOIMI
Middle Name:
Last Name:NOUSIAINEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 WILSHIRE BLVD
Mailing Address - Street 2:STE 207
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-1910
Mailing Address - Country:US
Mailing Address - Phone:213-240-8601
Mailing Address - Fax:213-240-8605
Practice Address - Street 1:1138 WILSHIRE BLVD
Practice Address - Street 2:STE 207
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-1910
Practice Address - Country:US
Practice Address - Phone:213-240-8601
Practice Address - Fax:213-240-8605
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator