Provider Demographics
NPI:1649426719
Name:SAMI, NINA K (MS)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:K
Last Name:SAMI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17815 VENTURA BLVD.
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-1100
Mailing Address - Country:US
Mailing Address - Phone:818-881-8877
Mailing Address - Fax:818-881-8858
Practice Address - Street 1:17815 VENTURA BLVD.
Practice Address - Street 2:SUITE 206
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-1100
Practice Address - Country:US
Practice Address - Phone:818-881-8877
Practice Address - Fax:818-881-8858
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1945237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter