Provider Demographics
NPI:1801918222
Name:NISHIHIRA, JONAH (BA)
Entity type:Individual
Prefix:MR
First Name:JONAH
Middle Name:
Last Name:NISHIHIRA
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5426
Mailing Address - Country:US
Mailing Address - Phone:415-931-8180
Mailing Address - Fax:415-931-1323
Practice Address - Street 1:1400 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5426
Practice Address - Country:US
Practice Address - Phone:415-931-8180
Practice Address - Fax:415-931-1323
Is Sole Proprietor?:No
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHT8224237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist